OrganizationActive
Jerrol Noller MD Ltd
NPI 1821257593 · Medical Specialty Clinic/Center · Coon Rapids, MN
Provider details
- NPI number
- 1821257593
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerrol Noller, President(763) 427-6897
- License
- 23068 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3863 Coon Rapids Blvd Nw
Coon Rapids, MN 55433-2518
Phone: (763) 433-8300
Fax: (763) 433-8308
Approximate (ZIP-level) locationGet directions
Mailing address
1416 Oakwood Dr
Anoka, MN 55303-2747
Registry dates
- Enumerated
- 2008-06-06
- Last updated
- 2008-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.