Provider Demographics
NPI:1407154610
Name:GREAT PLAINS UROLOGY, PLLC
Entity Type:Organization
Organization Name:GREAT PLAINS UROLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EROL
Authorized Official - Middle Name:TUGRUL
Authorized Official - Last Name:UKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:952-926-0231
Mailing Address - Street 1:4410 SUNNYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55424-1102
Mailing Address - Country:US
Mailing Address - Phone:952-926-0231
Mailing Address - Fax:952-926-1735
Practice Address - Street 1:4410 SUNNYSIDE RD
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55424-1102
Practice Address - Country:US
Practice Address - Phone:952-926-0231
Practice Address - Fax:952-926-1735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN026884-2208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN340000081Medicare PIN