SPARK MEDICAL PROVIDERS PA

ST LOUIS PARK, MN
NPI1760374680
Entity TypeOrganization
Authorized ContactCATHERINE ANN LAURING
CEO
952-345-8770
Organization Subpart ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
Enumeration Date2025-07-16
Last Update Date2025-07-16
Business Address
SPARK MEDICAL PROVIDERS PA
5320 W 23RD ST STE 130
ST LOUIS PARK, MN 55416-1670
Phone number: 952-345-8770
Mailing Address
SPARK MEDICAL PROVIDERS PA
5320 W 23RD ST STE 130
ST LOUIS PARK, MN 55416-1670
Phone number: 952-345-8770
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