Individual
DR. NOLAN M SEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6465 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 55426-1728
(952) 236-7266
(952) 236-7212
Mailing address
6465 WAYZATA BOULEVARD, SUITE 900, ST LOUIS PARK, MN 55426-1734
(952) 236-7266
(952) 236-7212
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22951
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03388DA
BLUE CROSS BLUE SHIELD MN
MN
01
—
0929927
MEDICA
MN
05
—
271210500
—
MN
01
—
C808
UCARE
MN
Enumeration date
06/07/2007
Last updated
12/31/2014
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