Ear Nose & Throat Specialty Care of Minnesota PA
NPI #1336175744 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1336175744
- Entity Type
- Organization
- Organization Name
- Ear Nose & Throat Specialty Care of Minnesota PA
- Primary Specialty
- Otolaryngology
- Enumeration Date
- Jun 25, 2006
- Last Updated
- Feb 6, 2025
Practice Location
- Address
- 6099 WAYZATA BLVD STE 200
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-5538
- Phone
- (612) 871-1144
Authorized Official
- Name
- MARCY JABLONSKI
- Title
- BUSINESS OFFICE MANAGER
- Phone
- (952) 236-1692
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
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