Unknown Individual – Vascular Surgery Physician, NPI 1881689503
Vascular Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4695, Shoreline Drive, Spring Park, Hennepin County, Minnesota, 55384, United States
SPRING PARK, MN 553849715
Phone: (952) 442-7895
Fax: (952) 442-7894
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55384)
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