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Organization

PARK NICOLLET CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS SCHMIDT (CREDENTIAL SERVICES)
(952) 993-1600
Entity
Organization

Contact information

Practice address
9827 MAPLE GROVE PKWY N, MAPLE GROVE, MN 55369-4491
(952) 993-5900
Mailing address
9827 MAPLE GROVE PKWY N, MAPLE GROVE, MN 55369-4491
(952) 993-5900

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
8585
MN

Other

Enumeration date
09/10/2010
Last updated
09/10/2010
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