NPI: 1730211863
Provider Name: MINCEP EPILEPSY CARE PA
Doing Business As: MINNESOTA COMPREHENSIVE EPILEPSY PROGRAM, P.A.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization
Specialization: Neurology
Address:
5775 WAYZATA BLVD
SUITE 200
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 525-4511
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MINCEP EPILEPSY CARE PA is a neurology psychiatry neurology in St Louis Park, MN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MINCEP EPILEPSY CARE PA NPI is 1730211863. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Minnesota Comprehensive Epilepsy Program, P.a..
The provider's business location address is:
5775 WAYZATA BLVD
SUITE 200
ST LOUIS PARK, MN
ZIP 55416-222
Phone: (952) 525-4511
Fax: (952) 525-1560
The provider's authorized official is Robert Gumnit .
The authorized official title is President, Medical Director and has the following contact phone number (952) 525-4511.
The enumeration date for this NPI number is 3/12/2007 and was last updated on 8/22/2020.