Organization
PARK NICOLLET- METHODIST HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED SPOONER MD (CT SURGERY)
(952) 993-3123
Entity
Organization
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-3123
Mailing address
1521 HIGHLAND PKWY, SAINT PAUL, MN 55116-2241
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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