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

Organization Neonatal-Perinatal Medicine Physician · NPI 1255951190

Minnesota Neonatal Specialists PLLC is a Neonatal-Perinatal Medicine Physician in Maple Grove, Minnesota. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9875 Hospital Dr
Maple Grove, MN 55369-4648
Phone: (612) 322-6903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 — (612) 322-6903

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X
Medical Physician Assistant Taxonomy 363AM0700X
Neonatal Nurse Practitioner Taxonomy 363LN0000X

Record details

NPI number1255951190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Maki — Business Manager · (612) 322-6905
NPI enumeratedApril 21, 2020
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026
Mailing address9325 Upland Ln N Ste 360, Maple Grove, MN 55369-4463

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