MEDICARE: NORTH PATHOLOGY ASSOCIATES PLLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	89A31NO	OTHER		BLUE CROSS BLUE SHIELD MN

General Provider Information

NPI Number	:	1720048556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH PATHOLOGY ASSOCIATES PLLP

Provider Business Mailing Address
First Line	:	NW 6164
Second Line	:	PO BOX 1450
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55485-6164
Country	:	US
Telephone Number	:	877-861-9294
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 OAKDALE AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55422-2926
Country	:	US
Telephone Number	:	763-520-5521
Fax Number	:	763-520-1721

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. SUE E SCHLAFMANN
Credential	:	MD
Telephone Number	:	877-861-9294

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	06/10/2011

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