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

Jerrol Noller MD Ltd

Organization Medical Specialty Clinic/Center · NPI 1821257593

Jerrol Noller MD Ltd is a Medical Specialty Clinic/Center in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3863 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2518
Phone: (763) 433-8300
Fax: (763) 433-8308
Show map & directions

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

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 23068 (MN)

Record details

NPI number1821257593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerrol Noller — President · (763) 427-6897
NPI enumeratedJune 6, 2008
Last updated in NPPESJune 6, 2008
Mailing address1416 Oakwood Dr, Anoka, MN 55303-2747

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