MINNESOTA UROLOGY PA NPI 1912971912

NPI Information

  • NPI: 1912971912
  • Provider Name: MINNESOTA UROLOGY, PA
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: METRO UROLOGY
  • CLIA Number: 52D2287742
  • Address: 6025 LAKE RD
    SUITE 200
    WOODBURY, MN
    ZIP 55125
  • Phone: (651) 999-6800

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NPI Details

MINNESOTA UROLOGY, PA is an urology in Woodbury, MN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MINNESOTA UROLOGY, PA NPI is 1912971912. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Metro Urology.

The provider's business location address is:

6025 LAKE RD
SUITE 200
WOODBURY, MN
ZIP 55125-712
Phone: (651) 999-6800
Fax: (651) 999-6830

The provider's authorized official is Aaron J Milbank .
The authorized official title is Urologist, President and has the following contact phone number (651) 999-7037.

The CLIA number assigned to this NPI record is 52D2287742 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecologyNo
2208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1919208500MEDICAIDMINNESOTA
2CP2429OTHERMINNESOTAMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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