Noennig, Blake

Noennig, Blake is an individual health care provider with primary practice located at 3800 Park Nicollet Blvd , St Louis Park MN 55416. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Noennig, Blake can be contacted via phone (952) 993-3123.

Contact Information

Primary practice address
3800 Park Nicollet Blvd St Louis Park MN 55416
Phone: (952) 993-3123
Fax: (952) 993-3286
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X 65775 Minnesota

Profile Details

NPI number 1699192997
LBN Legal business name Noennig, Blake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2014
Last updated Jul 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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