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Contact Information

NORTHSTAR NEUROLOGICAL CLINIC, P.A.
12000 ELM CREEK BLVD N
SUITE 330
MAPLE GROVE, MN55369-7073
 Phone: 763-416-1400
 Fax: 763-416-0022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for NORTHSTAR NEUROLOGICAL CLINIC, P.A.

NPI Number 1497978241
LBN Legal business name NORTHSTAR NEUROLOGICAL CLINIC, P.A.
Authorized official STEVEN TROBIANI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # 32776
MN Medicaid 2072293
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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