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MINNESOTA NEUROSURGICAL TRAUMA ASSOCIATES PLLC NPI 1922241884


NPI Information

NPI: 1922241884
Provider Name: MINNESOTA NEUROSURGICAL TRAUMA ASSOCIATES, PLLC
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization

CLIA Number: 24D0896041

Address:
11850 BLACKFOOT ST NW
SUITE 490
COON RAPIDS, MN
ZIP 55433
Phone: (763) 427-1137
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MINNESOTA NEUROSURGICAL TRAUMA ASSOCIATES, PLLC is a neurological surgery in Coon Rapids, MN. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. MINNESOTA NEUROSURGICAL TRAUMA ASSOCIATES, PLLC NPI is 1922241884. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11850 BLACKFOOT ST NW
SUITE 490
COON RAPIDS, MN
ZIP 55433-578
Phone: (763) 427-1137
Fax: (763) 427-4643

The provider's authorized official is Kyle S Nelson .
The authorized official title is Ceo and has the following contact phone number (763) 427-1137.

The CLIA number assigned to this NPI record is 24D0896041 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/8/2009 and was last updated on 4/25/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207T00000XNeurological SurgeryYes
2363AS0400XPhysician AssistantSurgicalNo
3363LA2100XNurse PractitionerAcute CareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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