Omri Shochatovitz

NPI 1750368270 · on the registry since 2005

Practice

Address: 3850 Park Nicollet Blvd
St Louis Park, MN 55416
Phone: (952) 993-3025
Fax: (952) 993-1937
Organisation at this address: Park Nicollet Clinic
Park Nicollet Health Care Products
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 205

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-03-07

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