# PARK NICOLLET- METHODIST HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104136142
- **Authorized official:** TED SPOONER MD (CT SURGERY)
- **Authorized official phone:** (952) 993-3123

## Contact information

- **Practice address:** 6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
- **Practice address phone:** (952) 993-3123
- **Mailing address:** 1521 HIGHLAND PKWY, SAINT PAUL, MN 55116-2241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2010
- **Last updated:** 10/08/2010