PARK NICOLLET

MAPLE GROVE, MN
NPI1982150728
Entity TypeOrganization
Authorized ContactSOFIYA TSUKERMAN
Htcp
763-494-4686
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: MN  L 48617-4)
Additional Taxonomies261QA1903X Clinic/Center, Ambulatory Surgical
(Licence: MN  L 48617-4)
Enumeration Date2016-08-31
Last Update Date2016-08-31
Business Address
PARK NICOLLET
9555 UPLAND LN N
MAPLE GROVE, MN 66369
Phone number: 952-993-1589
Mailing Address
PARK NICOLLET
7102 OLIVE LANE NORTH
MAPLE GROVE, MN 55311
Phone number: