Andrew James Misselt in St Louis Park - Diagnostic Radiology

Andrew James Misselt - NPI 1770500555

Andrew James Misselt is a Diagnostic Radiology in St Louis Park, Minnesota. Andrew James Misselt practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Andrew James Misselt is 1770500555. The last update date is 2021-06-10.

Andrew James Misselt's current location address is 3850 Park Nicollet Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529933700. The mailing address for Andrew James Misselt is 3850 Park Nicollet Blvd, St Louis Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrew James Misselt
Address 3850 Park Nicollet Blvd, St Louis Park, Minnesota
Phone Number 9529933700
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1770500555
Provider Enumeration Date 2006-07-16
Last Updated Date 2021-06-10

Provider Mailing Address Detail

Address 3850 Park Nicollet Blvd
City St Louis Park
State Minnesota (MN)
Post Code 554162527
Phone Number 9529933700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 48706
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1047281 MN PREFERRED ONE
1770500555 MN AMERICA'S PPO
300003980 MN MEDICARE
HP65836 MN HEALTHPARTNERS
1604206 MN MEDICA
P00332886 MN RAILROAD MEDICARE
814T2MI MN BLUE CROSS BLUE SHIELD
133246 UCARE
872600100 MN --
300003981 MN MEDICARE

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FAQs about Andrew James Misselt

What is the unique identifier code issued to Andrew James Misselt by the Centers for Medicare & Medicaid Services?

The Andrew James Misselt has been assigned the NPI (National Provider Identifier) 1770500555. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Andrew James Misselt?

The Andrew James Misselt is situated at 3850 Park Nicollet Blvd, in the city of St Louis Park, state of MN, with the zip code 554162527.

What is the Andrew James Misselt's area of specialization and corresponding taxonomy classification?

The Andrew James Misselt's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1770500555 to Andrew James Misselt?

The Centers for Medicare & Medicaid Services assigned the 1770500555 to Andrew James Misselt on 2006-07-16.

As of what date were the Andrew James Misselt's details last updated?

The information pertaining to the Andrew James Misselt, including its address, specialty, and other details, was most recently updated on 2021-06-10.

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