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

Juan Oliver Mariscal, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124524475

Juan Oliver Mariscal, MD is a General Surgery in Fridley, Minnesota. Graduated from University of Minnesota Medical School in 2018, 8 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6341 University Ave NE
Fridley, MN 55432-4946
Phone: (763) 572-5700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 701 Park Ave, Minneapolis, MN 55415-1623 — (612) 873-3000

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 71210 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124524475
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2018
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2018 (8 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fridley