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Search › Minnesota › 208800000X

Blake Noennig

NPI 1699192997 · on the registry since 2014

Practice

Address
3800 Park Nicollet Blvd
St Louis Park, MN 55416
Phone
(952) 993-3123
Fax
(952) 993-3286
Organisation at this address
Group Health Inc
Park Nicollet Clinic
Park Nicollet Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
402

Additional practice sites

  • 1600 Sw Archer Rd, Gainesville, FL
  • 1600 Sw Archer Rd, Gainesville, FL

Registry record

Primary taxonomy
208800000X
208800000X
Also registered as
390200000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-19

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