Search › Minnesota › 2085R0202X
Grant Zomermaand
NPI 1932696002 · on the registry since 2018
Practice
- Address
- 6500 Excelsior Blvd
St Louis Park, MN 55426 - Phone
- (952) 993-5000
- Fax
- (952) 932-6090
- Organisation at this address
- Park Nicollet Methodist Hospital
Park Nicollet Methodist Hospital
Park Nicollet Methodist Hospital
Park Nicollet Methodist Hospital
Park Nicollet Methodist HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 598
Additional practice sites
- 8100 Northland Dr, Bloomington, MN
- 981045 Nebraska Medical Ctr, Omaha, NE
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085R0202X
390200000X - Licence states on file
- MN, NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota