Organization
PARK NICOLLET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNT HELGAAS M.D. (MEDICAL DIRECTOR PARK NICOLLET MGRC)
(952) 993-1440
Entity
Organization
Contact information
Practice address
9555 UPLAND LN N, MAPLE GROVE, MN 55369-4485
(952) 993-1440
Mailing address
7102 OLIVE LN N, MAPLE GROVE, MN 55311-3573
(763) 494-4686
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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