Organization
PARK NICOLLET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ABELSON MD (PRESIDENT/CEO)
(952) 993-5009
Entity
Organization
Contact information
Practice address
8455 FLYING CLOUD DR, EDEN PRAIRIE, MN 55344-3974
(952) 993-7470
Mailing address
8455 FLYING CLOUD DR, EDEN PRAIRIE, MN 55344
(952) 993-7470
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
8510
MN
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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