Healthcare Provider Details

I. General information

NPI: 1629121884
Provider Name (Legal Business Name): MINNEAPOLIS ORTHOPAEDICS, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 01/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 S 8TH ST SUITE 550
MINNEAPOLIS MN
55404-1217
US

IV. Provider business mailing address

825 S 8TH ST SUITE 550
MINNEAPOLIS MN
55404-1208
US

V. Phone/Fax

Practice location:
  • Phone: 612-333-5000
  • Fax: 612-333-6922
Mailing address:
  • Phone: 612-333-5000
  • Fax: 612-333-6922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARA PEPLINSKI
Title or Position: CLINIC MANAGER
Credential:
Phone: 612-333-5000