Provider Demographics
NPI:1437693298
Name:MINNEAPOLIS HEART INSTITUTE
Entity Type:Organization
Organization Name:MINNEAPOLIS HEART INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR INTERVENTIONAL CARDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:612-863-3900
Mailing Address - Street 1:920 E 28TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1191
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:501 CARLSON PKWY
Practice Address - Street 2:APARTMENT 218
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-5808
Practice Address - Country:US
Practice Address - Phone:612-940-1514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital