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

Park Nicollet

Organization Clinic/Center · NPI 1174975528

Park Nicollet is a Clinic/Center in Maple Grove, Minnesota. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

9555 Upland Ln N
Maple Grove, MN 55369-4485
Phone: (952) 993-1440
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1174975528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernt Helgaas — Medical Director Park Nicollet Mgrc · (952) 993-1440
NPI enumeratedJuly 11, 2016
Last updated in NPPESJuly 11, 2016
Mailing address7102 Olive Ln N, Maple Grove, MN 55311-3573

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