OrganizationActive
Spark Medical Providers PA
NPI 1760374680 · Geriatric Medicine (Internal Medicine) Physician · St Louis Park, MN
Provider details
- NPI number
- 1760374680
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Catherine Lauring, Ceo(952) 345-8770
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5320 W 23rd St Ste 130
St Louis Park, MN 55416-1670
Phone: (952) 345-8770
Approximate (ZIP-level) locationGet directions
Mailing address
5320 W 23rd St Ste 130
St Louis Park, MN 55416-1670
Registry dates
- Enumerated
- 2025-07-16
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.