awacke1/AllUSPhysiciansNPIbyStateandCountry huggingface dataset:
Provider:  MICHELE D STRACHAN  MD
Gender: F
Specialty taxonomy code: 208000000X
License: 37690 (MN)
Practice location: 200 OAK STREET SE, U OF MN MCNAMARA ALUMNI CENER KDWB UNIVERSITY PEDIATRICS FAMILY CENTER, MINNEAPOLIS, MN 55455
NPI enumeration date: 10/17/2006
Provider: DR. ELIZABETH A CANEPA  M.D.
Gender: F
Specialty taxonomy code: 2084P0800X
License: 54062 (MN)
Practice location: 640 JACKSON ST-MAIL STOP 11302C HEALTHPARTNERS REGIONS BEHAVIORAL HEATLH-ST. PAUL, ST. PAUL, MN 551012502
NPI enumeration date: 10/21/2006
Provider: DR. ROCHUS KEN-ICHI VOELLER  M.D.
Gender: M
Specialty taxonomy code: 208600000X
License: 2005032739 (MO)
Practice location: 640 JACKSON ST - MC 11503K HEHEALTHPARTNERS REGIONS SPECIALTY CLINICS, ST. PAUL, MN 551012502
NPI enumeration date: 10/24/2006
Organization: EYECARE CENTERS OF AITKIN & MCGREGOR OPTOMETRISTS, PA
Also known as: EYECARE CENTER OF MCGREGOR
Specialty taxonomy code: 152W00000X
License: 1998 (MN)
Practice location: 241 W. HWY. 210 , MCGREGOR, MN 55760
NPI enumeration date: 10/24/2006
Provider: DR. CAROL L HARGATE  CPNP
Gender: F
Specialty taxonomy code: 363L00000X
License: R0741783 (MN)
Practice location: 345 NORTH SMITH AVENUE CHILDRENS HOSPITALS & CLINICS OF MN EMERG PHYS STPL, ST PAUL, MN 55102
NPI enumeration date: 11/01/2006
Organization: STELLHER HUMAN SERVICES, INC.
Also known as: CHEMICAL HEALTH PROGRAM - BAGLEY
Specialty taxonomy code: 251S00000X
License: 1042734-1-CDT (MN)
Practice location: 202 BAGLEY AVE NW BAGLEY SCHOOL DISTRICT #162, BAGLEY, MN 566218759
NPI enumeration date: 11/03/2006
Provider: DR. THOMAS MYRON BECKMAN  D.D.S.
Gender: M
Specialty taxonomy code: 1223P0221X
License: D7658 (MN)
Practice location: 515 DELAWARE STREET S.E. 6-150 MOOS TOWER - UNIVERSITY OF MINNESOTA, MINNEAPOLIS, MN 55455
NPI enumeration date: 11/03/2006
Organization: CITY OF WHITE BEAR LAKE MN
Also known as: WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER
Specialty taxonomy code: 251S00000X
License: 8026811MHC (MN)
Practice location: 1280 NORTH BIRCH LAKE BLVD WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER, WHITE BEAR LAKE, MN 551106708
NPI enumeration date: 11/14/2006
Provider: MS. JULIE BELLE WILLIAMS  MSW LICSW LP LMFT LI
Gender: F
Specialty taxonomy code: 103T00000X
License: LP0063 (MN)
Practice location: 1280 NORTH BIRCH LAKE BLVD WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER, WHITE BEAR LAKE, MN 551106708
NPI enumeration date: 11/14/2006
Provider: MS. JOAN SAGEDAHL LARSON  MSSA LICSW
Gender: F
Specialty taxonomy code: 1041C0700X
License: 06420 (MN)
Practice location: 1280 NORTH BIRCH LAKE BLVD WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER, WHITE BEAR LAKE, MN 551106708
NPI enumeration date: 11/14/2006
Provider: MR. JAMES CASEY KACHEL SLANGA  MA LP
Gender: M
Specialty taxonomy code: 103TC1900X
License: MNLP#LP0885 (MN)
Practice location: 1280 NORTH BIRCH LAKE BLVD WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER, WHITE BEAR LAKE, MN 551106708
NPI enumeration date: 11/14/2006
Provider: MS. JANE GALVIN BACON  MA LP LMFT
Gender: F
Specialty taxonomy code: 103TC0700X
License: LP2821 (MN)
Practice location: 1280 NORTH BIRCH LAKE BLVD WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER, WHITE BEAR LAKE, MN 551106708
NPI enumeration date: 11/14/2006
Provider:  KENNETH RAYMOND TRAEN  M.S.W., L.I.C.S.W.
Gender: M
Specialty taxonomy code: 1041C0700X
License: 15585 (MN)
Practice location: 2050 SAINT CLAIR AVE SUITE 1E, SAINT PAUL, MN 551051650
NPI enumeration date: 11/15/2006
Provider: MS. LAVONNE FAYE BECKLER  ADULT NURSE PRACTITI
Gender: F
Specialty taxonomy code: 363LA2200X
License: R068756-2 (MN)
Practice location: CBHH- FERGUS FALLS,1801 W ALCOTT AVE , FERGUS FALLS, MN 565370478
NPI enumeration date: 11/17/2006
Organization: GRAND HEALTH CHIROPRACTIC AND WELLNESS CENTER, P.A.
Also known as: MCGRATH GRAND CHIROPRACTIC P.A.
Specialty taxonomy code: 111N00000X
License: 5356 (MN)
Practice location: 1025 SELBY AVE SUITE 101, SAINT PAUL, MN 551046533
NPI enumeration date: 11/22/2006
Provider: MRS. JENNIFER ANN VERMEER GREGOR  M.S.W., L.I.C.S.W.
Gender: F
Specialty taxonomy code: 1041C0700X
License: 19808 (MN)
Practice location: 2540 COUNTY ROAD F E , WHITE BEAR LAKE, MN 551103935
NPI enumeration date: 11/28/2006
Provider: DR. SUSANNE SHAMSOLKOTTABI RUPERT  MD
Gender: F
Specialty taxonomy code: 207L00000X
License: 47567 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS MAYO MEMORIAL BUILDING, 420 DELAWARE STREET SE, B-515, MINNEAPOLIS, MN 55455
NPI enumeration date: 11/29/2006
Provider: MRS. DONNA JEAN AMIDON  CNP
Gender: F
Specialty taxonomy code: 163W00000X
License: R0634023 (MN)
Practice location: 250 SO 4TH ST ROOM 510 MPLS DEPT OF HEALTH & FAMILY SUPPORT SCHOOL BASED CLIN, MINNEAPOLIS, MN 55415
NPI enumeration date: 11/30/2006
Provider: MISS LISA JEAN BROUGHTEN MONJEAU  OTR/L
Gender: F
Specialty taxonomy code: 174400000X
License: 102738 (MN)
Practice location: 1900 CENTRACARE CIRCLE #1300 CENTRACARE CLINIC HEALTH PLAZA PEDIATRIC/ADOLESCENT MED, ST CLOUD, MN 563035000
NPI enumeration date: 12/04/2006
Provider: MS. LISA CAROL BECKSTROM  MA, CCC-SLP
Gender: F
Specialty taxonomy code: 235Z00000X
License: 5642 (MN)
Practice location: 6500 EXCELSIOR BLVD REHAB SERVICES - SPEECH PATHOLOGY, ST LOUIS PARK, MN 554264702
NPI enumeration date: 12/14/2006
Organization: COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC.
Also known as: ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE
Specialty taxonomy code: 282N00000X
License: 246 (WI)
Practice location: 13111 N PORT WASHINGTON RD , MEQUON, WI 530972416
NPI enumeration date: 12/18/2006
Provider: MS. NICKY DIANE BREDESON  LICSW LMFT
Gender: F
Specialty taxonomy code: 1041C0700X
License: L.I.C.S.W. 257 (MN)
Practice location: 4005 WEST 65TH ST #108, EDINA, MN 554351700
NPI enumeration date: 12/19/2006
Provider: MS. RUTH ANN ISCHE  MA LICSW
Gender: F
Specialty taxonomy code: 1041C0700X
License: 6713 (MN)
Practice location: 9531 W 78TH STREET SUITE 145 EDEN PRAIRIE COUNSELLING SR RUTH ANN ISCHE MA, EDEN PRAIRIE, MN 553443828
NPI enumeration date: 12/19/2006
Organization: COUNTIES OF PINE & AITKIN-WILLOW RIVER ISD #577
Also known as: WILLOW RIVER ISD #577/NORTHERN LIGHTS SPECIAL EDUCATION COOPERATIVE
Specialty taxonomy code: 251300000X
License:  (MN)
Practice location: 302 14TH ST , CLOQUET, MN 557202102
NPI enumeration date: 12/21/2006
Provider:  SHIRLEE CORRINE LANSING  LICSW
Gender: F
Specialty taxonomy code: 1041C0700X
License: 0728 (MN)
Practice location: 16201 90TH ST NE, SUITE 200 NYSTROM & ASSOCIATES, LTD., OTSEGO, MN 55330
NPI enumeration date: 12/28/2006
Provider: DR. THOMAS ALBERT GRACE  PH.D., L.P.
Gender: M
Specialty taxonomy code: 103TC0700X
License: LP1052 (MN)
Practice location: 1919 UNIVERSITY AVE W SUITE 200 (RAMSEY COUNTY MENTAL HEALTH), SAINT PAUL, MN 551043453
NPI enumeration date: 12/29/2006
Organization: SOUTHWEST MINNESOTA ORTHOPEDICS AND SPORTS MEDICINE, INC
Also known as: SOUTHWEST MINNESOTA AND SPORTS MEDICINE, INC. - (MARSHALL)
Specialty taxonomy code: 207X00000X
License: 37196 (MN)
Practice location: 1401 NWAKAMA ST SUITE 300, MARSHALL, MN 562585529
NPI enumeration date: 12/29/2006
Provider: DR. TAIWO ADEBOLA LAWAL  M.D., M.P.H., FACP
Gender: F
Specialty taxonomy code: 207R00000X
License: 40434 (KY)
Practice location: 1021 BANDANA BLVD E STE 100, SAINT PAUL, MN 551085113
NPI enumeration date: 01/02/2007
Provider: DR. BARBARA  SKODJE-MACK  EDD, LMFT, LPCC
Gender: F
Specialty taxonomy code: 101YM0800X
License: 98 (MN)
Practice location: 1900 CENTRACARE CIR STE 1000 , SAINT CLOUD, MN 563035000
NPI enumeration date: 01/02/2007
Provider:  DEBORAH MARIE LINDGREN-CLENDENEN  RN, MN, GNP-BC, APNP
Gender: F
Specialty taxonomy code: 163WC1500X
License: 115271-030 (WI)
Practice location: 800 E 28TH ST H2100, MINNEAPOLIS, MN 554073723
NPI enumeration date: 01/12/2007
Organization: RIDGEVIEW CLINICS
Also known as: RIDGEVIEW CHANHASSEN CLINIC/WESTERN ORTHOPAEDICS & SPORTS MEDICINE CON
Specialty taxonomy code: 207X00000X
License: 40131 (MN)
Practice location: 7907 POWERS BLVD , CHANHASSEN, MN 553179502
NPI enumeration date: 01/17/2007
Provider: MRS. MARY WANDA ERICKSON  O.T.R., L
Gender: F
Specialty taxonomy code: 225X00000X
License: 101266 (MN)
Practice location: 506 ROEDER CIR 88TH RRC SURGEON'S OFFICE, FORT SNELLING, MN 551114017
NPI enumeration date: 01/18/2007
Organization: HEALTH 1ST CHIROPRACTIC AND WELLNESS CENTER, P.C.
Also known as: PREMIER HEALTH OF SOUTH ST PAUL, P.C.
Specialty taxonomy code: 111N00000X
License: 4267 (MN)
Practice location: 1020 MARIE AVENUE , SOUTH ST. PAUL, MN 55075
NPI enumeration date: 01/23/2007
Organization: DR. PATRICIA L. LAWLER D.C. CHARTERED
Also known as: HOLLY HOUSE CENTER FOR INTEGRATED HEALTHCARE
Specialty taxonomy code: 111N00000X
License: 0014514865 (MN)
Practice location: 2324 UNIVERSITY AVE W SUITE NO. 102, SAINT PAUL, MN 551141843
NPI enumeration date: 01/25/2007
Organization: BIRCH LAKE VISION GROUP, LLC.
Also known as: BIRCH LAKE EYE CLINIC, OAK TREE OPTICAL, VILLAGE EYE CLINIC AND OPTICA
Specialty taxonomy code: 152W00000X
License: LD2695000 (MN)
Practice location: 4720 WHITE BEAR PKWY , WHITE BEAR LAKE, MN 551103336
NPI enumeration date: 01/25/2007
Organization: REBROVICH AND WHALEN CHIROPRACTIC, LTD.
Also known as: IDEAL HEALTH, A SPORTS & FAMILY CHIROPRACTIC CLINIC
Specialty taxonomy code: 111N00000X
License: 478 (MN)
Practice location: 18336 JOPLIN ST NW , ELK RIVER, MN 553301773
NPI enumeration date: 01/26/2007
Provider: DR. MICHAEL J WESTERHAUS  M.A., M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 54640 (MN)
Practice location: 451 NORTH DUNLAP STREET MAIL STOP 32700A HEALTHPARTNERS MIDWAY CLINIC-CENTER FO, ST. PAUL, MN 551042595
NPI enumeration date: 02/01/2007
Provider: DR. KIRK ARLAN DULAC  D.D.S., M.S.D.
Gender: M
Specialty taxonomy code: 1223E0200X
License: D11122 (MN)
Practice location: 3960 COON RAPIDS BLVD NW SUITE 320, COON RAPIDS, MN 554332569
NPI enumeration date: 02/13/2007
Provider: DR. CAROLE (NICKEY) GALUSH LARSON  PSYD LP  LMFT LADC
Gender: F
Specialty taxonomy code: 101YA0400X
License: 300756 (MN)
Practice location: 7400 METRO BLVD SUITE 215, EDINA, MN 554392316
NPI enumeration date: 02/15/2007
Provider:  RANDLE SCOTT CORFMAN  PH.D, M.D.
Gender: M
Specialty taxonomy code: 207VE0102X
License: 207VE0102X (MN)
Practice location: 12000 ELM CREEK BLVD N SUITE 350, MAPLE GROVE, MN 553697073
NPI enumeration date: 02/16/2007
Provider: DR. LESLIE JEAN MORTLAND  MD
Gender: F
Specialty taxonomy code: 208000000X
License: TRN9066 (FL)
Practice location: 1900 CENTRACARE CIR # 1300 CENTRACARE CLINIC HEALTH PLAZA PEDIATRIC AND ADOLESCENT, SAINT CLOUD, MN 563035000
NPI enumeration date: 02/16/2007
Organization: MICHAEL K SUTLEY DDS PA
Also known as: MINNEAPOLIS ORAL & MAXILLOFACIAL SURGERY
Specialty taxonomy code: 1223S0112X
License: D9086 (MN)
Practice location: 825 NICOLLET MALL SUITE 707 MEDICAL ARTS BUILDING, MINNEAPOLIS, MN 554022606
NPI enumeration date: 02/20/2007
Organization: COMMUNITY ACTION PARTNERSHIP OF RAMSEY & WASHINGTON COUNTIES (CAPRW)
Also known as: RAMSEY ACTION PROGRAMS (RAP)
Specialty taxonomy code: 163WC1500X
License: R 157956-9 (MN)
Practice location: 450 SYNDICATE ST N SUITE 30 , ST. PAUL, MN 551044107
NPI enumeration date: 02/20/2007
Organization: BIOFEEDBACK TRAINING AND TREATMENT CENTER, INC.
Also known as: BIOFEEDBACK CENTER OF MINNESOTA
Specialty taxonomy code: 174400000X
Practice location: 5001 AMERICAN BLVD W STE 980 BIOFEEDBACK TRAINING & TREATMENT CENTER, INC., BLOOMINGTON, MN 554371164
NPI enumeration date: 02/22/2007
Provider: MRS. MICHELLE EBER SCHWARTZ  M.S., CCC-SLP
Gender: F
Specialty taxonomy code: 235Z00000X
License: 7181 (MN)
Practice location: 6500 EXCELSIOR BLVD METHODIST HOSPITAL-SPEECH PATHOLOGY DEPARTMENT, ST LOUIS PARK, MN 554264702
NPI enumeration date: 03/05/2007
Provider: MRS. ALISON  MIRELEZ  M.S., OTR-L
Gender: F
Specialty taxonomy code: 225XP0200X
License: 103088 (MN)
Practice location: 3000 WHITE BEAR AVE N PLAZA 3000, SUITE 28, MAPLEWOOD, MN 551091315
NPI enumeration date: 03/12/2007
Provider: MS. SUSAN LEE DEMORLIS  RD, LD, CDE
Gender: F
Specialty taxonomy code: 133V00000X
License: 1072 (MN)
Practice location: 4050 COON RAPIDS BLVD NW MERCY HOSPITAL -- NUTRITION SERVICES, COON RAPIDS, MN 554332522
NPI enumeration date: 03/14/2007
Organization: AVALON PROGRAMS LLC
Also known as: AVALON - PINE CITY ADD AVALON - STUREON LAKE TO THIS NPI NUMBER
Specialty taxonomy code: 101YA0400X
License: 1034226 (MN)
Practice location: 34079 LAKETOWN ROAD SUITE #7, STURGEON LAKE, MN 55783
NPI enumeration date: 03/15/2007
Provider: MRS. TERRI LYNN ARNDT  RN MA CCRC
Gender: F
Specialty taxonomy code: 1744R1102X
License: R106859-1 (MN)
Practice location: MINNEAPOLIS HEART INSTITUTE FOUNDATION 920 E 28TH ST STE 40, MINNEAPOLIS, MN 554071194
NPI enumeration date: 03/19/2007
Provider: MS. MARGARET(PEG) ANNE DEMMER  RN, CCRC
Gender: F
Specialty taxonomy code: 163W00000X
License: R 104925-1 (MN)
Practice location: MINNEAPOLIS HEART INSTITUTE FOUNDATION 920 E 28TH ST., SUITE 40, MAIL STOP 33040, MINNEAPOLIS, MN 55407
NPI enumeration date: 03/20/2007
Provider:  MARY JANINE  RAJKOWSKI  RN BSN NATIONALLY CE
Gender: F
Specialty taxonomy code: 163WM1400X
License: R0967826 (MN)
Practice location: 238 WENTWORTH AVE E GLADSTONE PARK MEDICAL BLDG, WEST ST PAUL, MN 551183525
NPI enumeration date: 03/21/2007
Provider: MS. SUSAN SACHS STEINBERG  RN, CNP, CNS, MPH
Gender: F
Specialty taxonomy code: 363LP0808X
License: R 094704-0 (MN)
Practice location: 410 CHURCH STREET S.E.-UNIVERSITY OF MINNESOTA MENTAL HEALTH CLINIC-4TH FLOOR, MINNEAPOLIS, MN 55455
NPI enumeration date: 03/27/2007
Provider: MS. ANN MARIE GUSTAFSON-LARSON  RN, CNP
Gender: F
Specialty taxonomy code: 133V00000X
License: 1134 (MN)
Practice location: 1900 CENTRA CARE CIRCLE #2500 CENTRA CARE CLINIC HEALTH PLAZA / ENDOCRINOLOGY, ST CLOUD, MN 563035000
NPI enumeration date: 03/28/2007
Organization: AMERICAN ACADEMY OF TRADITIONAL CHINESE MEDICINE, INC.
Also known as: AMERICAN ACADEMY OF ACUPUNCTURE AND ORIENTAL MEDICINE, INC.
Specialty taxonomy code: 171100000X
License: 1017 (MN)
Practice location: 1925 COUNTY ROAD B2 W , ROSEVILLE, MN 551132703
NPI enumeration date: 04/03/2007
Provider:  MICHELLE KAYE BEELER  OTR/L
Gender: F
Specialty taxonomy code: 225XP0200X
License: 103177 (MN)
Practice location: 7250 FRANCE AVENUE SOUTH SUITE 305 CAPERNAUM PEDIATRIC THERAPY, INC., EDINA, MN 554354305
NPI enumeration date: 04/04/2007
Provider: DR. OLADEPO COLLINS FASORANTI  MBBS
Gender: M
Specialty taxonomy code: 207Q00000X
License: 001220 (GA)
Practice location: 11475 ROBINSON DRIVE NW - MAILSTOP 32600A HEALTHPARTNERS COON RAPIDS CLINIC, COON RAPIDS, MN 554333746
NPI enumeration date: 04/07/2007
Provider: DR. CHRISTINA MARIE BULISCO  MD
Gender: F
Specialty taxonomy code: 207V00000X
License: 4301084054 (MI)
Practice location: 1900 CENTRACARE CIR # 2300 CENTRACARE HEALTH PLAZA OBSTETRICS AND WOMEN'S HEALTH, SAINT CLOUD, MN 563035000
NPI enumeration date: 04/13/2007
Provider: MS. KARI LYNN UNKE  MAT-CCC-SLP
Gender: F
Specialty taxonomy code: 235Z00000X
License: 7020 (MN)
Practice location: 6500 EXCELSIOR BLVD. REHABILITATION SERVICES - SPEECH PATHOLOGY, ST. LOUIS PARK, MN 55426
NPI enumeration date: 04/13/2007
Organization: VADNAIS HEIGHTS FAMILY CHIROPRACTIC, INC.
Also known as: PERFORMANCE CHIROPRACTIC AND REHAB
Specialty taxonomy code: 111NR0400X
License: 4396 (MN)
Practice location: 1038 CENTERVILLE CIR , VADNAIS HEIGHTS, MN 551276344
NPI enumeration date: 05/09/2007
Organization: EPISCOPAL COMMUNITY SERVICES, INC.
Also known as: ARCHDEACON GILFILLAN CENTER MH-CD PROGRAM
Specialty taxonomy code: 322D00000X
License: 800111-3-CRF (MN)
Practice location: 1741 15TH STREET NW , BEMIDJI, MN 566190744
NPI enumeration date: 05/10/2007
Organization: BRYANT R. BEEHLER, D.O., LTD.
Also known as: NORTH METRO OSTEOPATHIC CLINIC
Specialty taxonomy code: 261QR0400X
License: 27285 (MN)
Practice location: 3863 COON RAPIDS BLVD NW , COON RAPIDS, MN 554332518
NPI enumeration date: 05/25/2007
Provider: MR. CARL FRANK SHASKEY-SETRIGHT  M.S.W., L.I.C.S.W.
Gender: M
Specialty taxonomy code: 101YM0800X
License: 3590 (MN)
Practice location: 1804 BROADWAY ST STE. 170, ALEXANDRIA, MN 563082718
NPI enumeration date: 06/01/2007
Provider:  SOUMATHY C PROSPER  M.D
Gender: F
Specialty taxonomy code: 207V00000X
License: 103102 (MN)
Practice location: 530 3RD ST NW - MAIL STOP 39400A RIVERWAY CLINIC - ELK RIVER, ELK RIVER, MN 553308863
NPI enumeration date: 06/07/2007
Organization: GEOFFREY D. ARCHIBALD, D.D.S. AND ADAM F. CURTIS, D.D.S., P.A.
Also known as: NORTH BRANCH DENTAL
Specialty taxonomy code: 1223G0001X
License: D12408 (MN)
Practice location: 6460 MAIN ST , NORTH BRANCH, MN 550567030
NPI enumeration date: 06/12/2007
Provider: DR. LUCINDA C WEST  PH.D., LMHC, LMFT
Gender: F
Specialty taxonomy code: 101YM0800X
License: MH3418 (FL)
Practice location: 225 S 6TH ST 9TH FLOOR - CAPELLA UNIVERSITY, MINNEAPOLIS, MN 554024601
NPI enumeration date: 06/13/2007
Provider: DR. JEAN-MARC  MAC-THIONG  M.D.
Gender: M
Specialty taxonomy code: 282N00000X
License: 103143 (MN)
Practice location: 913 E 26TH ST TWIN CITIES SPINE CENTER, PIPER BUILDING, SUITE 600, MINNEAPOLIS, MN 554044515
NPI enumeration date: 07/16/2007
Organization: MCPHERSON COUNSELING SERVICES,INC
Also known as: ERIN P. MCPHERSON, MSW, LICSW
Specialty taxonomy code: 1041C0700X
License: 13073 (MN)
Practice location: 600 25TH AVE S SUITE 109, SAINT CLOUD, MN 563014820
NPI enumeration date: 07/19/2007
Organization: GREAT LAKES ORAL & MAXILLOFACIAL SURGERY, P.A.
Also known as: RICHARD W BRUNTON PA
Specialty taxonomy code: 1223S0112X
License: 10762 (MN)
Practice location: 2850 CURVE CREST BLVD SUITE 130, STILLWATER, MN 55082
NPI enumeration date: 08/15/2007
Provider: DR. MATTHEW W TSANG  M.D., M.STUD. OXON.
Gender: M
Specialty taxonomy code: 207N00000X
License: 52718 (MN)
Practice location: 3800 PARK NICOLLET BLVD DERMATOLOGY AND DERMATOPATHOLOGY, MINNEAPOLIS, MN 554162527
NPI enumeration date: 08/20/2007
Provider: MS. DEBORAH MARY TWITO  APRN-BC OR MS,RN,CNS
Gender: F
Specialty taxonomy code: 163W00000X
License: R 090551-6 (MN)
Practice location: 2545 CHICAGO AVE MEDICAL OFFICE BUILDING, SEVENTH FLOOR, SUITE 701, MINNEAPOLIS, MN 554044522
NPI enumeration date: 09/11/2007
Provider:  KIMBERLY E KAUMEHEIWA  N.P.
Gender: F
Specialty taxonomy code: 363L00000X
License: 17417 (CA)
Practice location: UNITEDHEALTH GROUP 9900 BREN ROAD EAST, MN 008-B213,, MINNITONKA, MN 55343
NPI enumeration date: 10/02/2007
Organization: GREGG M POQUETTE B.S. D.C. P.A.
Also known as: HELPING HANDS CHIROPRACTIC
Specialty taxonomy code: 261Q00000X
License: 2402 (MN)
Practice location: 4660 SLATER RD SUITE 140, EAGAN, MN 551224047
NPI enumeration date: 10/02/2007
Organization: ROSEMARY S LINDERMAN-WORLEIN DBA ROSEMARY S LINDERMAN, PSYD, LP
Also known as: PSYCHOLOGY SERVICES OF SOUTHERN MINNESOTA, LLC
Specialty taxonomy code: 251S00000X
License: 2378 (MN)
Practice location: 109 1ST AVE SE , AUSTIN, MN 559123480
NPI enumeration date: 10/25/2007
Provider: DR. SHASWITA  CHINTALPURI  MD
Gender: F
Specialty taxonomy code: 207Q00000X
License: RL10540 (ND)
Practice location: 7500 80TH STREET SOUTH, SUITE 100 - MAIL STOP 34624A HEALTHPARTNERS COTTAGE GROVE CLINIC, COTTAGE GROVE, MN 550163008
NPI enumeration date: 10/29/2007
Organization: FREIDSON CHIROPRACTIC & REHABILITATION, P.A.
Also known as: SYNERGY HEALTH & REHABILITATION, P.A.
Specialty taxonomy code: 111N00000X
License: 4762 (MN)
Practice location: 801 TWELVE OAKS CENTER DR SUITE 810, WAYZATA, MN 553914601
NPI enumeration date: 10/29/2007
Organization: JOHN G. STARK M.D.P.A.
Also known as: STARK SPECIALTY ORTHOPAEDICS, STARK CLINIC
Specialty taxonomy code: 207XS0117X
License: 23369 (MN)
Practice location: 825 NICOLLET MALL STE 715 , MINNEAPOLIS, MN 554022613
NPI enumeration date: 10/31/2007
Organization: FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS
Also known as: ENTIRA FAMILY CLINICS-VADNAIS HEIGHTS
Specialty taxonomy code: 207Q00000X
License: 1428 (MN)
Practice location: 3550 LABORE RD STE 7 , VADNAIS HEIGHTS, MN 551105113
NPI enumeration date: 11/09/2007
Organization: FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS
Also known as: ENTIRA FAMILY CLINICS-INVER GROVE HEIGHTS
Specialty taxonomy code: 207Q00000X
License: 1428 (MN)
Practice location: 2980 BUCKLEY WAY , INVER GROVE HEIGHTS, MN 550762017
NPI enumeration date: 11/09/2007
Organization: FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS
Also known as: ENTIRA FAMILY CLINICS-EAST SIDE
Specialty taxonomy code: 207Q00000X
License: 1428 (MN)
Practice location: 1385 PHALEN BLVD , SAINT PAUL, MN 551062126
NPI enumeration date: 11/09/2007
Organization: FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS
Also known as: ENTIRA FAMILY CLINICS-HIGHLAND
Specialty taxonomy code: 207Q00000X
License: 1428 (MN)
Practice location: 1540 RANDOLPH AVE , SAINT PAUL, MN 551052535
NPI enumeration date: 11/09/2007
Organization: FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS
Also known as: ENTIRA FAMILY CLINICS - HUGO
Specialty taxonomy code: 207Q00000X
License: 1428 (MN)
Practice location: 14688 EVERTON AVE N , HUGO, MN 550386071
NPI enumeration date: 11/09/2007
Organization: FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS
Also known as: ENTIRA FAMILY CLINICS-SHOREVIEW
Specialty taxonomy code: 207Q00000X
License: 1428 (MN)
Practice location: 404 HIGHWAY 96 W , SHOREVIEW, MN 551261900
NPI enumeration date: 11/09/2007
Organization: FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS
Also known as: ENTIRA FAMILY CLINICS-WEST ST. PAUL
Specialty taxonomy code: 207Q00000X
License: 1428 (MN)
Practice location: 234 WENTWORTH AVE E , WEST ST PAUL, MN 551183525
NPI enumeration date: 11/09/2007
Organization: FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS
Also known as: ENTIRA FAMILY CLINICS-COMO/ROSEVILLE
Specialty taxonomy code: 207Q00000X
License: 1428 (MN)
Practice location: 1050 LARPENTEUR AVE W , SAINT PAUL, MN 551136556
NPI enumeration date: 11/09/2007
Organization: FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS
Also known as: ENTIRA FAMILY CLINICS-NORTH ST. PAUL
Specialty taxonomy code: 207Q00000X
License: 1428 (MN)
Practice location: 2601 CENTENNIAL DR STE 100 , NORTH ST PAUL, MN 551093087
NPI enumeration date: 11/09/2007
Organization: FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS
Also known as: ENTIRA FAMILY CLINICS-WOODBURY
Specialty taxonomy code: 207Q00000X
License: 1428 (MN)
Practice location: 8325 CITY CENTRE DR , WOODBURY, MN 551253323
NPI enumeration date: 11/09/2007
Provider: MRS. AMY JO ANDERLY-DOTSON  L.A.D.C., L.G.S.W
Gender: F
Specialty taxonomy code: 101YA0400X
License: 302225 (MN)
Practice location: NYSTROM ASSOCIATES LIMITED 112 1ST STREET WEST, BEMIDJI, MN 56601
NPI enumeration date: 11/30/2007
Provider: DR. VENKATA S VUNDAMATI  M.D.
Gender: F
Specialty taxonomy code: 207Q00000X
License: 50353 (MN)
Practice location: 205 S WABASHA ST MAIL STOP 31300A - HEALTHPARTNERS ST. PAUL CLINIC, ST. PAUL, MN 551071805
NPI enumeration date: 12/24/2007
Provider: DR. HILARY IKENNA UFEARO  MBBS
Gender: M
Specialty taxonomy code: 208M00000X
License: D66182 (MD)
Practice location: 1900 CENTRACARE CIRCLE, #1600 CENTRACARE CLINIC HEALTH PLAZA SPECIALTIES/ONCOLOGY, ST CLOUD, MN 563035000
NPI enumeration date: 12/26/2007
Provider: MS. DEBBIE CAROL JANIGA SCHEIDE  M.A., L.A.M.F.T.
Gender: F
Specialty taxonomy code: 106H00000X
License: 1756 (MN)
Practice location: 1500 MCANDREWS RD W SUITE 229, BURNSVILLE, MN 553374432
NPI enumeration date: 12/28/2007
Organization: CHIROPRACTIC ASSOCIATES OF NORTHERN MINNESOTA, LTD.
Also known as: ASSOCIATED CHIROPRACTIC PHYSICIANS/ MILLER HILL
Specialty taxonomy code: 111N00000X
License: 1539 (MN)
Practice location: 1301 MILLER TRUNK HWY SUITE 300, DULUTH, MN 558115611
NPI enumeration date: 02/06/2008
Provider: MS. JERI L DENTZ  CNM
Gender: F
Specialty taxonomy code: 367A00000X
License: R 142865-2 (MN)
Practice location: 8170 33RD AVE S, C/O PHYSICIAN SERVICES MS 21110Q, HEALTHPARTNERS FLOATING CLINIC, MINNEAPOLIS, MN 554401309
NPI enumeration date: 03/19/2008
Provider: MRS. MORGAN KRISTINE MEINECKE  R.D. , L.D.
Gender: F
Specialty taxonomy code: 133V00000X
License: 2708 (MN)
Practice location: 3850 PARK NICOLLET BLVD PARK NICOLLET-FAMILY PRACTICE NUTRITION, ST LOUIS PARK, MN 554162527
NPI enumeration date: 03/20/2008
Provider: MRS. MELINA DOCTO CANLAS KOCH  NP
Gender: F
Specialty taxonomy code: 363LA2200X
License: 2007007786-21 (MN)
Practice location: 401 PHALEN BLVD - MS 41102D HEALTHPARTNERS SPECIALTY CENTER 401, ST. PAUL, MN 551305302
NPI enumeration date: 04/09/2008
Organization: VOLUNTEERS OF AMERICA MN/WI
Also known as: VOLUNTEERS OF AMERICA OF MINNESOTA MENTAL HEALTH CLINICS
Specialty taxonomy code: 251S00000X
License: 8105041MHC (MN)
Practice location: 9220 BASS LAKE RD STE 255 , NEW HOPE, MN 554283019
NPI enumeration date: 05/05/2008
Provider: DR. DINA REBECCA BLUMENFIELD  D.O.
Gender: F
Specialty taxonomy code: 207Q00000X
License: 51058 (MN)
Practice location: 5100 GAMBLE DR SUITE 100 - MAIL STOP 31200A HEALTHPARTNERS WEST CLINIC, ST. LOUIS PARK, MN 554161582
NPI enumeration date: 06/03/2008
Provider:  KATE M. SANN  M.D.
Gender: F
Specialty taxonomy code: 207Q00000X
License: R-8309 (IA)
Practice location: 530 3RD ST NW RIVERWAY CLINIC-ELK RIVER-MAIL STOP 39400A, ELK RIVER, MN 553308863
NPI enumeration date: 06/12/2008
Provider: DR. ELLIOT JOSEPH ZAHTZ  M.D.
Gender: M
Specialty taxonomy code: 208600000X
License: 54786 (MN)
Practice location: 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A UMP TRANSPLANT & MEDICINE SPECIALTIES, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/17/2008
Provider: DR. ZOHAR  SACHS  MD PHD
Gender: F
Specialty taxonomy code: 207RH0003X
License: 51258 (MN)
Practice location: 420 DELAWARE ST SE UNIV OF MN DEPT OF MEDICINE 14-154 MOOS MMC 286, MINNEAPOLIS, MN 554550341
NPI enumeration date: 06/17/2008
Provider: MS. KELSEY MARIE HENNINGSON-KAYE  PA-C
Gender: F
Specialty taxonomy code: 363AM0700X
License: 2260-023 (WI)
Practice location: 450 EASTVOLD AVE ORTONVILLE AREA HEALTH SERVICES/NORTHSIDE MEDICAL CLINI, ORTONVILLE, MN 562781252
NPI enumeration date: 06/18/2008
Provider: DR. IN-LIN  TUAN  M.D.
Gender: F
Specialty taxonomy code: 2084P0804X
License: 47584 (MN)
Practice location: 5100 GAMBLE DR SUITE 100 MAIL STOP31200A, HEALTH PARTNERS WEST CLINIC, ST LOUIS PARK, MN 554161582
NPI enumeration date: 06/21/2008
Provider: MR. DONALD I. BEISWENGER  MA, LMFT
Gender: M
Specialty taxonomy code: 106H00000X
License: 176 (MN)
Practice location: 11010 PRAIRE LAKES DRIVE, SUITE 250 PRAIRIE LAKES CORPORATE CENTER II, EDEN PRAIRIE, MN 55344
NPI enumeration date: 06/23/2008
Provider: DR. NATHAN ROBERT LUND  DDS
Gender: M
Specialty taxonomy code: 1223G0001X
License: D12527 (MN)
Practice location: DEPARTMENT OF THE ARMY DENTAL ACTIVITY STOP 2817 REILLY RD, MCDS-NA-B, FORT BRAGG, NC 283100001
NPI enumeration date: 07/24/2008
Provider: DR. DANIELLE LIN MAGNESS-WELLMANN  DO
Gender: F
Specialty taxonomy code: 2084P0800X
License: 55114 (MN)
Practice location: 1400 MADISON AVE SUITE 352 MANKATO CLINIC DEPARTMENT OF PSYCHIATRY AND PSYCHOLOGY, MANKATO, MN 56001
NPI enumeration date: 08/15/2008
Provider: DR. MPHO P SEBONEGO  M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 50968 (MN)
Practice location: 1833 2ND AVE S - MAIL STOP 39300A RIVERWAY CLINIC - ANOKA, ANOKA, MN 553032432
NPI enumeration date: 08/15/2008
Organization: SATORI INTEGRATIVE PHYSICAL THERAPY, LLC
Specialty taxonomy code: 261QP2000X
License: 1473 (MN)
Practice location: LAKE POINTE CORPORATE CENTRE 3100 W. LAKE ST. SUITE 325 ENDLESS POSSIBILITIES INTEGRATIVE PHYSICAL THERAPY, LLC, MINNEAPOLIS, MN 554164510
NPI enumeration date: 09/04/2008
Provider: MRS. JANNA LYNN BLOCK  FNP
Gender: F
Specialty taxonomy code: 363LF0000X
License: R 164438-4 (MN)
Practice location: 115 10TH AVE NE STE A ESSENTIA HEALTH DEER RIVER CLINIC, DEER RIVER, MN 566368795
NPI enumeration date: 09/10/2008
Provider:  RACHEL LEE GARNESS  RN, CNP
Gender: F
Specialty taxonomy code: 363L00000X
License: R 157859-9 (MN)
Practice location: 1900 CENTRACARE CIR # 1300 CENTRA CARE CLINIC WOMEN & CHILDREN, SAINT CLOUD, MN 563035000
NPI enumeration date: 11/07/2008
Provider: DR. TAMI DAWN LINDELL  DNP, FNP, GNP, PMHNP
Gender: F
Specialty taxonomy code: 363LF0000X
License: 2008000923 (MN)
Practice location: 112 1ST ST W STE 204-205 , BEMIDJI, MN 566014002
NPI enumeration date: 12/02/2008
Organization: PROFESSIONAL PORTABLE RADIOLOGIC SERVICES, INC.
Also known as: PROFESSIONAL PORTABLE X-RAY, INC.
Specialty taxonomy code: 335V00000X
License: MED6719-M3XR11 (AZ)
Practice location: 6314 W UNION HILLS DR , GLENDALE, AZ 853081001
NPI enumeration date: 02/04/2009
Provider: DR. SHARY  VANG  MD
Gender: F
Specialty taxonomy code: 207R00000X
License: 51003 (MN)
Practice location: 451 NORTH DUNLAP STREET - MS 32700A HEALTHPARTNERS MIDWAY CLINIC-CENTER FOR INTERNATIONAL H, ST. PAUL, MN 551042595
NPI enumeration date: 02/05/2009
Provider: DR. MEREDITH L. GUNLICKS-STOESSEL  PH.D.
Gender: F
Specialty taxonomy code: 103TB0200X
License: GL0009 (MN)
Practice location: 2450 RIVERSIDE AVE F256/2B WEST, DEPARTMENT OF PSYCHIATRY, MINNEAPOLIS, MN 554541450
NPI enumeration date: 03/09/2009
Organization: OTOLARYNGOLOGY HEAD & NECK SURGERY, P.A,.
Also known as: MIDWEST EAR, NOSE & THROAT SPECIALISTS
Specialty taxonomy code: 332B00000X
License: 20 (MN)
Practice location: 2080 WOODWINDS DR STE 240 , WOODBURY, MN 551252539
NPI enumeration date: 04/10/2009
Provider: DR. ANDREW PHILLIP JOHN OLSON  M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 52851 (MN)
Practice location: 420 DELAWARE ST SE 14-100 PHILLIPS WANGENSTEEN BUILDING, MMC 391, MINNEAPOLIS, MN 554550341
NPI enumeration date: 04/29/2009
Provider: DR. CHAD A CUTSHALL  M.D.
Gender: M
Specialty taxonomy code: 207L00000X
License: 56295 (MN)
Practice location: 420 DELAWARE ST. SE, B-515 MAYO MEMORIAL BLDG UNIVERSITY OF MINNESOTA - DEPARTMENT OF ANESTHESIOLOGY, MINNEAPOLIS, MN 55455
NPI enumeration date: 04/30/2009
Provider:  JILL M PALMER  MSW, LICSW
Gender: F
Specialty taxonomy code: 104100000X
License: 12033 (MN)
Practice location: 2525 CHICAGO AVENUE SOUTH, 32-B852 CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA, MINNEAPOLIS, MN 554044518
NPI enumeration date: 06/12/2009
Provider:  LISA L BUCHAL  MSW, LICSW
Gender: F
Specialty taxonomy code: 104100000X
License: 08771 (MN)
Practice location: 2525 CHICAGO AVENUE SOUTH, 32-B852 CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA, MINNEAPOLIS, MN 554044518
NPI enumeration date: 06/12/2009
Provider:  LAURA A KENNEY  MSN, RN, ANP, CWOCN
Gender: F
Specialty taxonomy code: 363LA2200X
License: R155558-3 (MN)
Practice location: 640 JACKSON ST - MS 11105A HEALTHPARTNERS REGIONS SPECIALTY CLINICS, ST. PAUL, MN 551012502
NPI enumeration date: 06/29/2009
Provider: DR. ANN M PARR  MD, PHD, FRCSC
Gender: F
Specialty taxonomy code: 207T00000X
License: 00000000000000000000 (MN)
Practice location: 516 DELAWARE ST SE, CLINIC 1A UMPHYSICIANS NEUROSURGERY CLINIC, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/08/2009
Provider: MS. ANN MARIE MCHALE  APRN, CNS
Gender: F
Specialty taxonomy code: 364SA2200X
License: R1089596 (MN)
Practice location: 201 E. NICOLLET BLVD. PALLIATIVE CARE AND ACUTE PAIN MANAGEMENT, BURNSVILLE, MN 55337
NPI enumeration date: 07/08/2009
Provider: MS. ROXANNE TILLIE SKOGSTAD-DITSCH  M.ED., N.A.D.-III, L
Gender: F
Specialty taxonomy code: 103K00000X
License: 261141 (MN)
Practice location: 1929 8TH AVE. E. , INTERNATIONAL FALLS, MN 566493017
NPI enumeration date: 08/21/2009
Provider:  KERRI SHEAR JAEGER  M.A., L.P.
Gender: F
Specialty taxonomy code: 103T00000X
License: LP3383 (MN)
Practice location: 10560 WAYZATA BLVD WOODSIDE OFFICE PARK, BLDG 2, SUITE 5, MINNETONKA, MN 553051524
NPI enumeration date: 08/31/2009
Provider: DR. AJOY L.V. DIAS  M.D.
Gender: M
Specialty taxonomy code: 207RH0000X
License: 59113 (MN)
Practice location: DIVISION OF BLOOD AND BONE MARROW DEPARTMENT OF HEMATOLOGY,200 FIRST ST. SW, ROCHESTER, MN 559050001
NPI enumeration date: 09/03/2009
Provider: MRS. RAINI J KNAEBLE-WEISS  MSED, LPCC
Gender: F
Specialty taxonomy code: 101YM0800X
License: 8738096-6004 (UT)
Practice location: 1735 W 540 N APT 2601 , ST GEORGE, UT 847701672
NPI enumeration date: 09/10/2009
Organization: BLOSSOM WHOLE FAMILY THERAPY & CHILD PSYCHOLOGY CENTER, PLLC
Also known as: BLOSSOM CHILD PSYCHOLOGY & BEHAVIORAL HEALTH CENTER, PLLC
Specialty taxonomy code: 103TC2200X
Practice location: 10505 WAYZATA BLVD STE 103 , MINNETONKA, MN 553051507
NPI enumeration date: 09/30/2009
Provider: MS. KIMBERLY F LAXMANA  CNP
Gender: F
Specialty taxonomy code: 363LW0102X
License: LAX-1-0434-0626 (MN)
Practice location: 3960 COON RAPIDS BLVD NW SUITE 101, COON RAPIDS, MN 554332569
NPI enumeration date: 10/08/2009
Provider: MRS. CYNTHIA DIANE ENGELKES  M.A., L.A.M.F.T.
Gender: F
Specialty taxonomy code: 106H00000X
License: 1920 (MN)
Practice location: 10505 WAYZATA BLVD SUITE 101, MINNETONKA, MN 553051502
NPI enumeration date: 10/19/2009
Provider:  REBECCA L. WERTISH  CERTIFIED FAMILY NUR
Gender: F
Specialty taxonomy code: 363LF0000X
License: R-137104-2 (MN)
Practice location: 1900 CENTRACARE CIRCLE, #2300 CENTRACARE CLINIC WOMEN'S & CHILDRENS/OB0GYN, ST CLOUD, MN 563035000
NPI enumeration date: 10/22/2009
Provider:  DAGNY M. OLIVER  C.N.M.
Gender: F
Specialty taxonomy code: 367A00000X
License: R-144852-2 (MN)
Practice location: 1900 CENTRACARE CIRCLE #2300 CENTRACARE CLINIC-WOMEN'S & CHILDRENS, ST CLOUD, MN 563035000
NPI enumeration date: 11/06/2009
Provider: MISS JERROD DARNELL QUARLES  M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 22119 (MN)
Practice location: 420 DELAWARE ST SE 14-100 PHILLIPS WANGENSTEEN BLDG MMC 284, MINNEAPOLIS, MN 554550341
NPI enumeration date: 11/14/2009
Provider:  LINDA MARIE CHRISTINSEN-RENGEL  RN, CNP
Gender: F
Specialty taxonomy code: 363LW0102X
License: R 081800-1 (MN)
Practice location: 640 JACKSON STREET MS 11101A HEALTHPARTNERS REGIONS SPECIALTY CLINICS, SAINT PAUL, MN 55101
NPI enumeration date: 11/27/2009
Organization: NORTHLAND HEARING CENTERS, INC.
Also known as: SOUNDPOINT HEARING CENTER
Specialty taxonomy code: 332S00000X
License: 11-00021154 (AZ)
Practice location: 1979 MCCULLOCH BLVD N STE 102 , LAKE HAVASU CITY, AZ 864030963
NPI enumeration date: 01/20/2010
Organization: MARGARET A. FULTON, INC.
Also known as: MARGARET A. FULTON, PH.D., ABPP, LP
Specialty taxonomy code: 251S00000X
License: LP0143 (MN)
Practice location: 825 NICOLLET MALL SUITE 1450, MINNEAPOLIS, MN 554022606
NPI enumeration date: 01/24/2010
Provider: DR. MICHAEL BRUCE SALMELA  M.D.
Gender: M
Specialty taxonomy code: 2085R0202X
License: 56708 (MN)
Practice location: 3931 LOUISIANA AVE S PARK NICOLLET- MEADOWBROOK, SUITE W115, ST LOUIS PARK, MN 554265000
NPI enumeration date: 04/06/2010
Organization: A&A ENTERPRISE OF MINNESOTA, LLC
Also known as: A&A ENTERPRISE OF MINNESOTA SPECIAL TRANSPORTATIONS SERVICES
Specialty taxonomy code: 343900000X
License: 375461 (MN)
Practice location: 1500 1ST AVE NE SUITE 111-CC, ROCHESTER, MN 559064170
NPI enumeration date: 04/08/2010
Provider:  GRACE JIANG GOGGIN  M.D.
Gender: F
Specialty taxonomy code: 207R00000X
License: 33094 (MN)
Practice location: 255 NORTH SMITH AVE SUITE 100 UNITED MEDICAL SPECIALTIES-JOHN NASSEFF MEDICAL CENTER, ST. PAUL, MN 551022518
NPI enumeration date: 05/13/2010
Provider:  KATIE L PEHL  CNM
Gender: F
Specialty taxonomy code: 367A00000X
License: R184081-6 (MN)
Practice location: 8170 33RD AVE S - MS 21110Q HEALTHPARTNERS FLOATING CLINIC C/O PHYSICIANS SERVICES, MINNEAPOLIS, MN 554401309
NPI enumeration date: 06/02/2010
Provider: DR. BARBARA J. CHROMY  LPCC, NCC, CEAP, SAP
Gender: F
Specialty taxonomy code: 101YP2500X
License: 620-12-15-08A (ND)
Practice location: 26246 CRANE ROAD WHITE EARTH TRIBAL MENTAL HEALTH, WHITE EARTH, MN 56591
NPI enumeration date: 06/18/2010
Organization: FOND DU LAC RESERVATION BUSINESS COMMITTE
Also known as: FOND DU LAC HUMAN SERVICES DIVISION DENTAL CLINIC
Specialty taxonomy code: 261QD0000X
License:  (MN)
Practice location: 927 TRETTEL LANE FOND DU LAC HUMAN SERVICES DIVISION DENTAL CLINIC, CLOQUET, MN 55720
NPI enumeration date: 06/23/2010
Provider:  TERRENCE FRANCIS ZIELINSKI  MSW, LICSW
Gender: M
Specialty taxonomy code: 1041C0700X
License: 5347 (MN)
Practice location: 324 W. SUPERIOR ST. STE. 509 HEARTLAND PCA, LLC, DBA HEARTLAND KIDS, DULUTH, MN 55802
NPI enumeration date: 06/30/2010
Organization: PAYNESVILLE AREA LIVING AT HOME BLOCK NURSE PROGRAM
Also known as: R.O.S.E. CENTER LAH/BNP
Specialty taxonomy code: 251V00000X
License: 1U-919 (MN)
Practice location: 1105 W MAIN ST , PAYNESVILLE, MN 563621000
NPI enumeration date: 07/16/2010
Provider:  KENDRA M OLSON  LICSW
Gender: F
Specialty taxonomy code: 1041C0700X
License: 15703 (MN)
Practice location: 3800 PARK NICOLLET BLVD 3RD FLOOR NORTH, MENTAL HEALTH, SAINT LOUIS PARK, MN 554162527
NPI enumeration date: 08/17/2010
Organization: SCOTT L. STINSON, DC, LTD.
Also known as: CAHILL BACK & NECK CARE CENTER
Specialty taxonomy code: 261Q00000X
License: 1861 (MN)
Practice location: 6115 CAHILL AVE STE 100, INVER GROVE HEIGHTS, MN 550761670
NPI enumeration date: 08/19/2010
Provider:  ABIGAIL MARIE CARHILL  MA, CCC-SLP
Gender: F
Specialty taxonomy code: 235Z00000X
License: 8566 (MN)
Practice location: 12000 ELM CREEK BLVD SUITE 210- NORTH MEMORIAL REHAB SERVICES, MAPLE GROVE, MN 55369
NPI enumeration date: 09/01/2010
Provider:  ELLEN M WORLUND  PHARM.D., R.PH.
Gender: F
Specialty taxonomy code: 183500000X
License: 113949-1 (MN)
Practice location: 2525 CHICAGO AVENUE S CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA, MINNEAPOLIS, MN 55404
NPI enumeration date: 09/17/2010
Organization: REM MINNESOTA COMMUNITY SERVICES, INC.
Also known as: REM MINNESOTA COMMUNITY SERVICES, INC. HEMINGWAY
Specialty taxonomy code: 3104A0625X
License: UNKNOWN (MN)
Practice location: 15025 GLAZIER AVE STE 246 , APPLE VALLEY, MN 551246188
NPI enumeration date: 10/20/2010
Provider: MS. GAIL JOYCE SCHULSTROM  MSW, LICSW
Gender: F
Specialty taxonomy code: 104100000X
License: #3941 (MN)
Practice location: 12601 RIDGEDALE DRIVE, RIDGEDALE SERVICE CENTER HENNEPIN COUNTY CHILDREN'S MENTAL HEALTH CRISIS SERVICE, MINNETONKA, MN 55305
NPI enumeration date: 10/21/2010
Provider: DR. CHERYL KAY SYBESMA VAN NOORD  PH.D., LP
Gender: F
Specialty taxonomy code: 103TC2200X
License: 5285 (MN)
Practice location: 8009 34TH AVE S RIVERVIEW OFFICE TOWER, SUITE 1490, BLOOMINGTON, MN 554251608
NPI enumeration date: 11/29/2010
Organization: TAYLORS FALLS CHIROPRACTIC OFFICE LTD
Also known as: TAYLORS FALLS FAMILY CHIROPRACTIC
Specialty taxonomy code: 302F00000X
License: 1207 (MN)
Practice location: 13575 58TH ST N , OAK PARK HEIGHTS, MN 550826994
NPI enumeration date: 12/06/2010
Organization: CALM-CLINIC FOR ATTENTION, LEARNING, AND MEMOR
Also known as: CLINIC FOR ATTENTION, LEARNING, AND MEMORY, PA
Specialty taxonomy code: 103T00000X
License: LP1794 (MN)
Practice location: 1409 WILLOW ST SUITE 600, MINNEAPOLIS, MN 554032269
NPI enumeration date: 12/13/2010
Organization: JACK M. FIEDLER, D.D.S.,P.A.
Also known as: D/B/A ESTHETIC FAMILY DENTISTRY
Specialty taxonomy code: 1223G0001X
License: D12373 (MN)
Practice location: 150 GREENWOOD AVE W BOX 547, HECTOR, MN 55342
NPI enumeration date: 01/04/2011
Organization: FOND DU LAC RESERVATION BUSINESS COMMITTEE
Also known as: FDL ADULT OUTPATIENT TX
Specialty taxonomy code: 261QR0405X
License: 012010 (MN)
Practice location: 927 TRETTEL LANE FOND DU LAC HUMAN SERVICES DIVISION, CLOQUET, MN 55720
NPI enumeration date: 02/17/2011
Organization: THE ORMSBY GROUP LTD.
Also known as: BRIGHTSTAR SOUTH WEST MINNEAPOLIS AND WEST METRO
Specialty taxonomy code: 251J00000X
License: 352687 (MN)
Practice location: 4601 EXCELSIOR BLVD STE. 403, ST LOUIS PARK, MN 554164960
NPI enumeration date: 04/21/2011
Provider: DR. ERIN LYNN HANSON  DO
Gender: F
Specialty taxonomy code: 207V00000X
License: 58.003710 (OH)
Practice location: 1900 CENTRACARE CIR # 2300 CENTRACARE CLINIC HEALTH PLAZA OBSTETRICS AND WOMEN'S H, SAINT CLOUD, MN 563035000
NPI enumeration date: 05/26/2011
Provider:  EMILY ROSE OPACICH  RN, CNP
Gender: F
Specialty taxonomy code: 363LF0000X
License: R173579-8 (MN)
Practice location: 400 E 3RD ST ESSENTIA HEALTH DULUTH CLINIC, MCL2CRED, DULUTH, MN 558051951
NPI enumeration date: 06/03/2011
Organization: EL PRIMER PASO COUNSELING SERVICES, INC
Also known as: EL PRIMER PASO COUNSELING, INC
Specialty taxonomy code: 251S00000X
License: 1043440-2-CDT (MN)
Practice location: 3620 CENTRAL AVE NE STE 103 , MINNEAPOLIS, MN 554181376
NPI enumeration date: 07/20/2011
Provider: MRS. TANYA LYN SOMMERFELD  M.A., L.P.
Gender: F
Specialty taxonomy code: 103T00000X
License: LP5225 (MN)
Practice location: 201 EAST MAIN STREET SUITE 200 SOUTH METRO HUMAN SERVICES, ANOKA, MN 55303
NPI enumeration date: 07/21/2011
Provider:  EYAS  ABLA  M.D,
Gender: M
Specialty taxonomy code: 207R00000X
License: 108882 (MN)
Practice location: 1900 CENTRACARE CIR # 1300 CENTRACARE CLINIC WOMEN & CHILDREN, ALLERGY/IMMUNOLOGY, SAINT CLOUD, MN 563035000
NPI enumeration date: 08/03/2011
Provider: MR. NEIL SCOT MACNAUGHTON  RN, PHD
Gender: M
Specialty taxonomy code: 163W00000X
License: R189593-9 (MN)
Practice location: 1520 SAINT OLAF AVE ST OLAF COLLEGE DEPARTMENT OF NURSING, NORTHFIELD, MN 550571574
NPI enumeration date: 08/26/2011
Provider: MRS. MIRA ELTON ROSE CUMMINS  LICSW
Gender: F
Specialty taxonomy code: 1041C0700X
License: 19684 (MN)
Practice location: 345 N. SMITH AVE, MAIL STOP 70-503 CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA, SAINT PAUL, MN 55102
NPI enumeration date: 09/21/2011
Provider:  LINDA L HAGGERTY  C.P.N.P.
Gender: F
Specialty taxonomy code: 363LP0200X
License: R 85703-3 (MN)
Practice location: 2500 COMO AVE HEALTHPARTNERS COMO CLINIC - MAIL STOP 31100A, ST. PAUL, MN 551081460
NPI enumeration date: 10/11/2011
Organization: RUM RIVER HEALTH SERVICES, INC.
Also known as: RUM RIVER HEALTH SERVICES MILLE LACS COUNTY JAIL PROGRAM
Specialty taxonomy code: 101YA0400X
License: 1060530-1-CDT (MN)
Practice location: 640 3RD STREET NE , MILACA, MN 56353
NPI enumeration date: 11/07/2011
Organization: VAUGHN CHIROPRACTIC PLLC
Also known as: HEALTHSOURCE OF BLAINE CHIROPRACTIC & PROGRESSIVE REHAB
Specialty taxonomy code: 111N00000X
License: 5587 (MN)
Practice location: 10904 BALTIMORE ST NE STE 103, BLAINE, MN 554495061
NPI enumeration date: 02/22/2012
Organization: MARK E. ANDERSON FAMILY LTD
Also known as: MARK E. ANDERSON, M.A., LP, LMFT
Specialty taxonomy code: 103TC0700X
License: LP3081 (MN)
Practice location: 900 LONG LAKE RD STE 320 , NEW BRIGHTON, MN 551126439
NPI enumeration date: 02/22/2012
Organization: RICHMOND COUNSELING INC.
Also known as: CHARLES R. RICHMOND, M.A., LMFT
Specialty taxonomy code: 106H00000X
License: LMFT1397 (MN)
Practice location: 4886 HIGHWAY 61 N STE L3 , WHITE BEAR LAKE, MN 551102858
NPI enumeration date: 02/22/2012
Organization: GERALD D. CAVANAUGH & WILLIAM F. LILJEMARK
Also known as: EDINA ORTHODONTIC ASSOCIATES
Specialty taxonomy code: 1223X0400X
License: D11240,9023,10908AND (MN)
Practice location: 3939 W. 50TH ST SUITE #207, EDINA, MN 554241258
NPI enumeration date: 07/26/2012
Provider:  BRIDGET ANNETTE ENOS  DNP, APRN, FNP-C
Gender: F
Specialty taxonomy code: 363L00000X
License: 0024170206 (VA)
Practice location: 9900 BREN ROAD EAST MAIL ROUTE MN 008-B213, MINNETONKA, MN 553439664
NPI enumeration date: 09/06/2012
Organization: REALIEF NEUROPATHY CENTER OF MINNESOTA PA
Also known as: REALIEF NEUROPATHY CENTER OF ST. LOUIS PARK PA
Specialty taxonomy code: 225100000X
License: 9167 (MN)
Practice location: 1660 HIGHWAY 100 S SUITE 145, ST LOUIS PARK, MN 554161529
NPI enumeration date: 09/13/2012
Provider: MS. MARIAN J. STOKES  APRN, FNP-BC,ACNS-BC
Gender: F
Specialty taxonomy code: 363LF0000X
License: 11008459 (FL)
Practice location: 9900 BREN ROAD EAST MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343
NPI enumeration date: 10/12/2012
Provider: MRS. TRACY ANN ROEHL  APRN CNP
Gender: F
Specialty taxonomy code: 163WM0705X
License: R184825-8 (MN)
Practice location: 1900 CENTRACARE CIR # 2300 CENTRACARE CLINIC HEALTH PLAZA OBSTETRICS AND WOMEN'S H, SAINT CLOUD, MN 563035000
NPI enumeration date: 10/23/2012
Provider: MRS. CHRISTINA MELBY ZIMPFER  RNC IBCLC
Gender: F
Specialty taxonomy code: 163WL0100X
License: R 1447798 (MN)
Practice location: 2450 RIVERSIDE AVE NICU 4TH FLOOR EAST BUILDING, MINNEAPOLIS, MN 554541450
NPI enumeration date: 11/07/2012
Provider: MR. WARREN B. FRITZE III MSW,LICSW,LADC,CGC
Gender: M
Specialty taxonomy code: 101YA0400X
License: 302147 (MN)
Practice location: 1930 COON RAPIDS BLVD NW , COON RAPIDS, MN 554334708
NPI enumeration date: 04/03/2013
Provider:  MITHUN RAGHU SURESH  M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 60351 (MN)
Practice location: 420 DELAWARE ST SE 14-100 PHILLIPS WANGENSTEEN BUILDING, MMC 284, MINNEAPOLIS, MN 554550341
NPI enumeration date: 04/30/2013
Provider: MR. DANIEL  LIBERMAN  M.D.C.M.
Gender: M
Specialty taxonomy code: 390200000X
License: 56194 (MN)
Practice location: 420 DELAWARE STRE SE, SUITE B435 INSTITUTE FOR PROSTRATE AND UROLOGIC CANCERS, MINNEAPOLIS, MN 554550341
NPI enumeration date: 05/08/2013
Provider:  TAMARA MARIE AMENDT  PA-C
Gender: F
Specialty taxonomy code: 363AS0400X
License: 1902 (MN)
Practice location: 1200 6TH AVENUE NORTH CENTRACARE CLINIC RIVER CAMPUS HEART AND VASCULAR CENTE, ST CLODU, MN 563032735
NPI enumeration date: 06/06/2013
Provider: DR. ALISTAIR ROSS DEMCOE  M.D., FRCSC
Gender: M
Specialty taxonomy code: 207XX0801X
License: 56302 (MN)
Practice location: 640 JACKSON ST REGIONS HOSPITAL-DEPARTMENT OF ORTHOPAEDIC SURGERY, SAINT PAUL, MN 551012502
NPI enumeration date: 07/08/2013
Organization: BIO-MEDICAL APPLICATIONS OF MINNESOTA, INC.
Also known as: FRESENIUS MEDICAL CARE ROUND LAKE DIALYSIS
Specialty taxonomy code: 261QE0700X
Practice location: 3777 COON RAPIDS BLVD NW STE 120 , COON RAPIDS, MN 554332630
NPI enumeration date: 07/09/2013
Provider: DR. MEGAN  NIMKE  PHARM.D.
Gender: F
Specialty taxonomy code: 1835P0018X
License: 121419 (MN)
Practice location: 345 SMITH AVE NORTH PHARMACY DEPARTMENT CHILDREN'S HOSPITAL & CLINICS OF MINNESOTA PHARMACY DEP, ST. PAUL, MN 55102
NPI enumeration date: 08/19/2013
Provider:  DONA BERANEK ANDERSON  RD LD
Gender: F
Specialty taxonomy code: 133V00000X
License: N139 (MN)
Practice location: 1900 CENTRACARE CIR # 2400 CENTRACARE CLINIC HEALTH PLAZA/GASTROENTEROLOGY, SAINT CLOUD, MN 563035000
NPI enumeration date: 08/21/2013
Provider: DR. SAKEENA ALIA FUTRELL-CARTER  APRN, CNM, CNP
Gender: F
Specialty taxonomy code: 363LA2200X
License: R 161360-3 (MN)
Practice location: 6500 EXCELSIOR BLVD HVC 5TH FLOOR, ST LOUIS PARK, MN 554264702
NPI enumeration date: 08/21/2013
Organization: CROWN IMPERIAL PRESS, LLC
Also known as: STEVEN R. WIESE, M.S., M.DIV, LICENSED PSYCHOLOGIST
Specialty taxonomy code: 261QM0801X
License: LP 1426 (MN)
Practice location: 1935 COUNTY ROAD B2 W SUITE #102, SAINT PAUL, MN 551132729
NPI enumeration date: 08/29/2013
Organization: BIO-MEDICAL APPLICATIONS OF MINNESOTA, INC.
Also known as: FRESENIUS MEDICAL CARE- TWO RIVERS DIALYSIS
Specialty taxonomy code: 261QE0700X
License:  (MN)
Practice location: 1355 S FRONTAGE RD STE 380 , HASTINGS, MN 550333493
NPI enumeration date: 01/09/2014
Provider: MS. VANESSA  SCHULTE  MSW, LICSW
Gender: F
Specialty taxonomy code: 104100000X
License: 22612 (MN)
Practice location: 7582 CURRELL BLVD COUNSELING PSYCHOLOGISTS OF WOODBURY, STE. 108, WOODBURY, MN 551252262
NPI enumeration date: 02/07/2014
Organization: PIPESTONE COUNTY MEDICAL CENTER AVERA
Also known as: PIPESTONE COUNTY MEDICAL CENTER OBSTETRICS & GYNECOLOGY AVERA
Specialty taxonomy code: 207V00000X
License: 2569527 (MN)
Practice location: 920 4TH AVE SW SUITE 210, PIPESTONE, MN 561641455
NPI enumeration date: 06/05/2014
Provider: MRS. JUNIA CAMPOS KIMIZUKA-CONNIFF  FNP-C
Gender: F
Specialty taxonomy code: 363LF0000X
License: 183754-4 (MN)
Practice location: 913 E 26TH ST SUITE 305 PIPER BUILDING, MINNEAPOLIS, MN 554044515
NPI enumeration date: 07/17/2014
Provider:  PATRICIA ANN OSBOURN  RN
Gender: F
Specialty taxonomy code: 163WD0400X
License: R153986-8 (MN)
Practice location: 1900 CENTRACARE CIR # 2500 CENTRACARE CLINIC HEALTH PLAZA/ENDOCRINOLOGY, SAINT CLOUD, MN 563035000
NPI enumeration date: 10/01/2014
Provider:  CHELSEA JOY KILANOWSKI  RN
Gender: F
Specialty taxonomy code: 163WD0400X
License: R195071-9 (MN)
Practice location: 1900 CENTRACARE CIR # 2500 CENTRACARE CLINIC HEALTH PLAZA/ENDOCRINOLOGY, SAINT CLOUD, MN 563035000
NPI enumeration date: 10/01/2014
Provider:  ELISA LYNNE NIELSEN  RN
Gender: F
Specialty taxonomy code: 163WD0400X
License: R182242-3 (MN)
Practice location: 1900 CENTRACARE CIR # 2500 CENTRACARE CLINIC HEALTH PLAZA/ENDOCRINOLOGY, SAINT CLOUD, MN 563035000
NPI enumeration date: 10/01/2014