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PELVIC FLOOR CENTER LLC NPI 1538107743


NPI Information

NPI: 1538107743
Provider Name: PELVIC FLOOR CENTER, LLC
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
2800 CHICAGO AVE S
SUITE 300
MINNEAPOLIS, MN
ZIP 55407
Phone: (651) 225-7800
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PELVIC FLOOR CENTER, LLC is a colon rectal surgery in Minneapolis, MN. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. PELVIC FLOOR CENTER, LLC NPI is 1538107743. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2800 CHICAGO AVE S
SUITE 300
MINNEAPOLIS, MN
ZIP 55407-353
Phone: (651) 225-7800
Fax: (651) 312-1570

The provider's authorized official is Michael Paul Spencer .
The authorized official title is PRESIDENT CEOCeo and has the following contact phone number (651) 225-7800.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 4/28/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal SurgeryMINNESOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C03031MEDICARE PINMINNESOTA
2353617300MEDICAIDMINNESOTA

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: 11/14/2023

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