Basic Information
Provider Information
NPI: 1871565713
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NESS
FirstName: MARGARET
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5105 KINGS CIR N
Address2:  
City: BROOKLYN PARK
State: MN
PostalCode: 554431604
CountryCode: US
TelephoneNumber: 7636147939
FaxNumber:  
Practice Location
Address1: 3300 OAKDALE AVE N
Address2:  
City: ROBBINSDALE
State: MN
PostalCode: 554222926
CountryCode: US
TelephoneNumber: 7635205200
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/04/2006
LastUpdateDate: 05/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/02/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X45589MNN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207Q00000X45589MNY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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