Organization
MINNESOTA NEONATAL PHYSICIANS PA
Active
Other names
Neonatology, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MAKI (BUSINESS MANAGER)
(612) 322-6905
Entity
Organization
Contact information
Practice address
9875 HOSPITAL DR, MAPLE GROVE, MN 55369-4648
(612) 322-6903
Mailing address
9325 UPLAND LN N STE 360, MAPLE GROVE, MN 55369-4463
(612) 322-6903
(763) 416-0158
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
1251
MN
Other
Enumeration date
06/22/2005
Last updated
03/25/2026
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