North Suburban Urology of Coon Rapids, Inc.

NPI #1386969103 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1386969103
Entity Type: Organization
Organization Name: North Suburban Urology of Coon Rapids, Inc.
Primary Specialty: Urology
Enumeration Date: Apr 5, 2010
Last Updated: Apr 14, 2010

Practice Location

Address: 3879 COON RAPIDS BLVD
City: Coon Rapids
State: Minnesota
ZIP Code: 55433
Phone: (763) 427-3668

Authorized Official

Name: DR. GEORGE A HAIKEL, MD
Title: PRESIDENT
Phone: (763) 427-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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