IndividualActive
Daniel Watson
NPI 1083691844 · Otolaryngology Physician · St Louis Park, MN
Provider details
- NPI number
- 1083691844
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 35994 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-3250
Approximate (ZIP-level) locationGet directions
Mailing address
6465 Wayzata Blvd
Minneapolis, MN 55426-1728
Registry dates
- Enumerated
- 2005-12-22
- Last updated
- 2011-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.