Spark Medical Providers PA
Spark Medical Providers PA is a Geriatric Medicine (Internal Medicine) Physician in St Louis Park, Minnesota. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5320 W 23rd St Ste 130St Louis Park, MN 55416-1670
Phone: (952) 345-8770
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RG0300X |
|---|
Record details
| NPI number | 1760374680 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Catherine Lauring — Ceo · (952) 345-8770 |
| NPI enumerated | July 16, 2025 |
| Last updated in NPPES | July 16, 2025 |
| Certification date | July 16, 2025 |
| Mailing address | 5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670 |
Other providers in St Louis Park
-
Dr. Olufemi O Banjoko, MD
3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 · (952) 993-5041
-
Dr. Michael Stockman, DO
3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 · (952) 993-5041