Rosa M Marroquin (NPI# 1366428955, PAC ID# 3173665353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1366428955 |
| PAC ID by PECOS | 3173665353 |
| Professional Enrollment ID | I20100126000887 |
| Full Name | Rosa M Marroquin |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Address |
15800 N 95th Ave Maple Grove MN 55369-4400 |
| Phone Number | 9529931440 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7911819438 |
| Number of Group Practice Members | 1280 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240053 | PARK NICOLLET METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 9529932400 | PARK NICOLLET CLINIC |
| 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | 9529934900 | PARK NICOLLET CLINIC |
| 15800 N 95th Ave, Maple Grove, MN 55369-4400 | 9529931440 | PARK NICOLLET CLINIC |
| 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | PARK NICOLLET CLINIC | |
| 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 9529933123 | PARK NICOLLET CLINIC |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Physicians | 1272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace Marie Irish | Nurse Practitioner | Park Nicollet Clinic | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Johanna Dijkstal Beebe | Ophthalmology | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Lonzale Ramsey | Family Medicine | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Kurt Wolff | Physical Therapy | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Alexandra E Wells | Internal Medicine | Park Nicollet Clinic | 13688 Rogers Dr, Rogers, MN 55374-4916 |
| Mysoon M Ayuob | Family Medicine | Park Nicollet Clinic | 15111 Twelve Oaks Ctr Dr, Minnetonka, MN 55305-5201 |
| Brian Lee Walters | Orthopedic Surgery | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Jared J Mell | Family Medicine | Park Nicollet Clinic | 4951 Excelsior Blvd, St Louis Park, MN 55416-3033 |
| Sean M Reardon | Clinical Psychologist | Park Nicollet Clinic | 9555 Upland N Ln, Maple Grove, MN 55369-4485 |
| Jeffrey J Mohr | Physician Assistant | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Street Address |
15800 N 95TH AVE |
| City | MAPLE GROVE |
| State | MN |
| Zip | 55369-4400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Wolff | Physical Therapy | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Kristin M Lyerly | Obstetrics/gynecology | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Abimbola Olajumoke Osagie | Pediatric Medicine | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Gary Bernard Rosen | Dermatology | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Mary K Rosenberg | Nurse Practitioner | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Tamara K Janousek | Occupational Therapy | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Jocelyn D Libby | Pediatric Medicine | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Mary L Rymanowski | Clinical Social Worker | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Kathy A Wagle | Clinical Nurse Specialist | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| John M Thomas | Hospice/palliative Care | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi J Hill | Qualified Audiologist | 512 Central Ave, Osseo, MN 55369-1129 | |
| Kristin Lori Kipka | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Mancel T Mitchell Iii | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Moushumi Meher | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Jennifer M Berger | Physician Assistant | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Neil P Jeddeloh | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Paul A Ruth | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Darrell A Krieger | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Kevin Raff | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Vandana Gupta | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Find all physicians in zip 55369 | |||
| City | MAPLE GROVE |
| Zip Code | 55369 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MAPLE GROVE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Rosa M Marroquin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.