# MINNESOTA NEONATAL PHYSICIANS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Neonatology, P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881690097
- **Authorized official:** RICHARD MAKI (BUSINESS MANAGER)
- **Authorized official phone:** (612) 322-6905

## Contact information

- **Practice address:** 9875 HOSPITAL DR, MAPLE GROVE, MN 55369-4648
- **Practice address phone:** (612) 322-6903
- **Mailing address:** 9325 UPLAND LN N STE 360, MAPLE GROVE, MN 55369-4463
- **Mailing address phone:** (612) 322-6903
- **Mailing address fax:** (763) 416-0158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 1251 | MN | Yes |

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 03/25/2026