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Blake Noennig
Urology Physician in St Louis Park, Minnesota
NPI 1699192997

Blake Noennig is a Urology Physician based in St Louis Park, MN. Blake Noennig practices in St Louis Park, MN. The NPI Number for Blake Noennig is 1699192997 and holds a License No. (Minnesota).

The current practice location address for Blake Noennig is 3800 Park Nicollet Blvd, St Louis Park, MN and can be reached out via phone at 952-993-3123 and via fax at 952-993-3286.

Location: 3800 Park Nicollet Blvd, St Louis Park, MN, 55416-2527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699192997
Provider Name
Blake Noennig
Credential
Provider Entity Type
Individual
Gender
Male
Address
3800 Park Nicollet Blvd, St Louis Park, MN, 55416-2527
Phone Number
952-993-3123
Fax Number
952-993-3286
Provider Enumeration Date
03/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3800 Park Nicollet Blvd
City
St Louis Park
State
Minnesota
Zip
55416
Phone Number
952-993-3123
Fax Number
952-993-3286
person
Provider Business Mailing Address Details
Address
3800 Park Nicollet Blvd
City
St Louis Park
State
Minnesota
Zip
55416
Phone Number
952-993-3123
Fax Number
952-993-3286
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
65775 (Minnesota)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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