Individual
TED H SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER, ST LOUIS PARK, MN 55426-4702
(952) 993-3246
(952) 993-3010
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
(952) 993-7169
(952) 993-0300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31959
MN
Other
Enumeration date
01/11/2006
Last updated
10/07/2011
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