Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Affiliated Otolaryngologists PA

Organization Otolaryngology Physician · NPI 1912090390

Affiliated Otolaryngologists PA is an Otolaryngology Physician in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12000 Elm Creek Blvd #L20
Maple Grove, MN 55369-9883
Phone: (763) 494-9882
Fax: (763) 494-9883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 18878 (MN)

Record details

NPI number1912090390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Payne — Owner Director · (763) 494-9882
NPI enumeratedSeptember 30, 2006
Last updated in NPPESAugust 22, 2020
Mailing address12000 Elm Creek Blvd, L20, Maple Grove, MN 55369-7163

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