Organization
NORAN NEUROLOGICAL CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JANOUSEK (PRESIDENT)
(612) 879-1000
Entity
Organization
Contact information
Practice address
3601 MINNESOTA DR STE 200, BLOOMINGTON, MN 55435-5202
(612) 879-1000
(612) 879-9116
Mailing address
3601 MINNESOTA DR STE 200, BLOOMINGTON, MN 55435-5202
(612) 879-1000
(612) 879-9116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6112100
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6112100
STATE TAX ID
MN
05
—
884510700
—
MN
Enumeration date
08/31/2006
Last updated
09/12/2023
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