OrganizationActive
Ear Nose & Throat Specialty Care of Minnesota PA
NPI 1336175744 · Otolaryngology Physician · St Louis Park, MN
Provider details
- NPI number
- 1336175744
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marcy Jablonski, Business Office Manager(952) 236-1692
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6099 Wayzata Blvd Ste 200
St Louis Park, MN 55416-5538
Phone: (612) 871-1144
Fax: (612) 871-2012
Approximate (ZIP-level) locationGet directions
Mailing address
6099 Wayzata Blvd Ste 200
St Louis Park, MN 55416-5538
Other names (DBA / former)
- Doing business as
- Ent Specialty Care
Additional practice locations (4)
- 14101 Fairview Dr Ste 340Burnsville, MN 55337-2537Phone: (612) 871-1144
- 3960 Coon Rapids Blvd Nw Ste 104Coon Rapids, MN 55433-2521Phone: (612) 871-1144
- 6525 France Ave S Ste 325Edina, MN 55435-2187Phone: (612) 871-1144
- 9822 Hospital DrMaple Grove, MN 55369-4648Phone: (612) 871-1144
Registry dates
- Enumerated
- 2006-06-25
- Last updated
- 2025-02-06
- Certified
- 2025-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.