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Contact Information

NORTHSTAR NEUROLOGICAL CLINIC LTD
12000 ELM CREEK BLVD
SUITE 330
MAPLE GROVE, MN55369
 Phone: 763-416-1400
 Fax: 763-416-0022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for NORTHSTAR NEUROLOGICAL CLINIC LTD · (Female)

NPI # 1659608776
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2009
Last updated 11/10/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 32776
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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