Healthcare Provider Details

I. General information

NPI: 1427293687
Provider Name (Legal Business Name): MAPS APPLIED RESEARCH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2008
Last Update Date: 12/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7450 FRANCE AVE S SUITE 265
EDINA MN
55435-4787
US

IV. Provider business mailing address

2104 NORTHDALE BLVD NW SUITE 220
MINNEAPOLIS MN
55433-3028
US

V. Phone/Fax

Practice location:
  • Phone: 763-537-6000
  • Fax: 763-537-6666
Mailing address:
  • Phone: 763-537-6000
  • Fax: 763-537-6666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number28811
License Number StateMN

VIII. Authorized Official

Name: MARSHA J THIEL
Title or Position: CEO
Credential:
Phone: 763-537-6000