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

Digestive Endoscopy, PA

Organization Gastroenterology Physician · NPI 1144588773

Digestive Endoscopy, PA is a Gastroenterology Physician in Maple Grove, 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

17322 91st Ave N
Maple Grove, MN 55311-5403
Phone: (763) 416-0399
Fax: (763) 416-0399
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 19698 (MN)

Record details

NPI number1144588773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Duane — President · (763) 416-0399
NPI enumeratedMay 2, 2012
Last updated in NPPESMay 2, 2012
Mailing address5970 Arbour Ave, Edina, MN 55436-2521

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