Organization
MINCEP EPILEPSY CARE PA
Active
Other names
Minnesota Comprehensive Epilepsy Program, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GUMNIT (PRESIDENT, MEDICAL DIRECTOR)
(952) 525-4511
Entity
Organization
Contact information
Practice address
5775 WAYZATA BLVD, SUITE 200, ST LOUIS PARK, MN 55416-1222
(952) 525-4511
(952) 525-1560
Mailing address
5775 WAYZATA BLVD, SUITE 200, ST LOUIS PARK, MN 55416-1222
(952) 525-4511
(952) 525-1560
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103730
U CARE NUMBER
MN
Enumeration date
03/12/2007
Last updated
08/22/2020
Update your record
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