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

St Cloud Ear, Nose & Throat - Surgical Suites LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1417188830

St Cloud Ear, Nose & Throat - Surgical Suites LLC is an Ambulatory Surgical Clinic/Center in Saint Cloud, Minnesota. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1528 Northway Dr
Saint Cloud, MN 56303-1255
Phone: (320) 252-0233
Fax: (320) 257-1126
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence PENDING

Record details

NPI number1417188830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Boller — Administrator · (320) 252-0233
NPI enumeratedAugust 3, 2009
Last updated in NPPESAugust 3, 2009
Mailing address1528 Northway Dr, Saint Cloud, MN 56303-1255

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