Millennium Neurosurgery, PA

NPI #1851314868 in Maplewood, Minnesota

Provider Information

NPI Number: 1851314868
Entity Type: Organization
Organization Name: Millennium Neurosurgery, PA
Primary Specialty: Specialist
Enumeration Date: Jul 25, 2006
Last Updated: Dec 5, 2007

Practice Location

Address: 1675 BEAM AVE
Address 2: SUITE 215
City: Maplewood
State: Minnesota
ZIP Code: 55109-1172
Phone: (651) 748-1461

Authorized Official

Name: DR. PHUDHIPHORN THIENPRASIT, MD
Title: PRESIDENT
Phone: (651) 748-1461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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