Maple Medical Center

NPI #1518187434 in Edina, Minnesota

Provider Information

NPI Number: 1518187434
Entity Type: Organization
Organization Name: Maple Medical Center
Primary Specialty: Internal Medicine
Enumeration Date: Apr 26, 2007
Last Updated: Nov 9, 2007

Practice Location

Address: 7261 OHMS LN
City: Edina
State: Minnesota
ZIP Code: 55439-2148
Phone: (952) 843-4333

Authorized Official

Name: MANAN S SHUKLA, M.D.
Title: CEO
Phone: (952) 843-4333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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