Basic Information
Provider Information
NPI: 1346668142
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LA POINTE
FirstName: MICHAEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11995 SINGLETREE LN STE 500
Address2:  
City: EDEN PRAIRIE
State: MN
PostalCode: 553445349
CountryCode: US
TelephoneNumber: 9525951301
FaxNumber: 6122944903
Practice Location
Address1: 14 RINEHART RD
Address2:  
City: LADERA RANCH
State: CA
PostalCode: 926941342
CountryCode: US
TelephoneNumber: 9525951100
FaxNumber: 6122944903
Other Information
ProviderEnumerationDate: 03/31/2014
LastUpdateDate: 04/02/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XA139723CAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


Home