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

Bw Medical PA

Organization Family Medicine Physician · NPI 1962769687

Bw Medical PA is a Family Medicine Physician in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012
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

4001 Stinson Blvd NE Ste 404
Minneapolis, MN 55421-3424
Phone: (612) 706-9630
Fax: (612) 706-9617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 39788 (MN)

Record details

NPI number1962769687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Haycraft-Williams — Owner · (612) 706-9630
NPI enumeratedApril 19, 2012
Last updated in NPPESApril 19, 2012
Mailing address17620 Durant St Ne, Ham Lake, MN 55304-4602

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