Provider Demographics
NPI:1881687119
Name:PAPARELLA EAR HEAD & NECK INSTITUTE PA
Entity Type:Organization
Organization Name:PAPARELLA EAR HEAD & NECK INSTITUTE PA
Other - Org Name:MINNESOTA EAR HEAD & NECK CLINIC PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:PAPARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:612-339-2836
Mailing Address - Street 1:701 25TH AVE S
Mailing Address - Street 2:STE 200
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454-1513
Mailing Address - Country:US
Mailing Address - Phone:612-339-2124
Mailing Address - Fax:612-843-3550
Practice Address - Street 1:701 25TH AVE S
Practice Address - Street 2:STE 200
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1513
Practice Address - Country:US
Practice Address - Phone:612-339-2836
Practice Address - Fax:612-843-3550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty