Individual
JULIA NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9825 HOSPITAL DR STE 300, MAPLE GROVE, MN 55369-4768
(336) 302-5794
Mailing address
12700 CREEK RD W, HOPKINS, MN 55305-3980
(336) 302-5794
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
65745
MN
208C00000X
Colon & Rectal Surgery Physician
Primary
82164
WI
Other
Enumeration date
04/18/2016
Last updated
07/31/2024
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