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NORTH SUBURBAN UROLOGY OF COON RAPIDS INC. NPI 1386969103


NPI Information

NPI: 1386969103
Provider Name: NORTH SUBURBAN UROLOGY OF COON RAPIDS, INC.
Classification: Urology - 208800000X
Entity Type: Organization
Address:
3879 COON RAPIDS BLVD
COON RAPIDS, MN
ZIP 55433
Phone: (763) 427-3668
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NORTH SUBURBAN UROLOGY OF COON RAPIDS, INC. is an urology in Coon Rapids, MN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NORTH SUBURBAN UROLOGY OF COON RAPIDS, INC. NPI is 1386969103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3879 COON RAPIDS BLVD
COON RAPIDS, MN
ZIP 55433
Phone: (763) 427-3668
Fax: (763) 427-5029

The provider's authorized official is George A Haikel .
The authorized official title is President and has the following contact phone number (763) 427-3668.

The enumeration date for this NPI number is 4/5/2010 and was last updated on 4/14/2010.


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
1208800000XUrology29898MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D80191MEDICARE UPIN
2482780500MEDICAIDMINNESOTA
3340000188MEDICARE PIN

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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