Organization
EAR NOSE & THROAT SPECIALTY CARE OF MINNESOTA PA
Active
Other names
ENT Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY JABLONSKI (BUSINESS OFFICE MANAGER)
(952) 236-1692
Entity
Organization
Contact information
Practice address
6099 WAYZATA BLVD STE 200, ST LOUIS PARK, MN 55416-5538
(612) 871-1144
(612) 871-2012
Mailing address
6099 WAYZATA BLVD STE 200, ST LOUIS PARK, MN 55416-5538
(612) 871-1144
(612) 871-2012
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234810100
—
MN
Enumeration date
06/25/2006
Last updated
02/06/2025
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