Organization
PARK NICOLLET CLINIC
Active
Organization
PARK NICOLLET CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BJORKMAN (DIRECTOR)
(952) 883-7469
Entity
Organization
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(612) 371-5400
(952) 993-1762
Mailing address
8170 33RD AVE SOUTH, MAILSTOP 21110Q, BLOOMINGTON, MN 55425
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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