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Contact Information

MINNESOTA NEUROSURGICAL TRAUMA ASSOCIATES, PLLC
11850 BLACKFOOT ST NW
SUITE 490
COON RAPIDS, MN55433-2578
 Phone: 763-427-1137
 Fax: 763-427-4643
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MINNESOTA NEUROSURGICAL TRAUMA ASSOCIATES, PLLC

NPI Number 1922241884
LBN Legal business name MINNESOTA NEUROSURGICAL TRAUMA ASSOCIATES, PLLC
Authorized official KYLE NELSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/08/2009
Last updated 04/25/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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