HomeNPI Verification

NPI Verification

National Provider Identifier: 1477587376

Adult & Pediatric Urology

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

2351 CONNECTICUT AVENUE SOUTH

SUITE 200

SARTELL, MN 563772011

Phone: 320-259-1411

NPI Enumeration Date

July 10, 2006

NPI Number

1477587376

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry