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AVANTI MEDICAL GROUP OF MINNESOTA LLC
NPI 1578872974
Clinic/Center in Stillwater, MN

Active since October 02, 2010
1801 MARKET DR, STILLWATER, MN 55082(318) 465-5874 Get Directions Write a Review

NPPES record last updated: October 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avanti Medical Group Of Minnesota Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVANTI MEDICAL GROUP OF MINNESOTA LLC (NPI 1578872974) is a healthcare organization registered as a clinic/center in Stillwater, Minnesota and active in the NPI registry since October 2010. The organization lists Amy Graham, Vice President Medical Affairs, as its authorized official.

NPPES Registry Identity

NPI1578872974
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAVANTI MEDICAL GROUP OF MINNESOTA LLC
Location Address1801 MARKET DRStillwater, MN 55082-7599
Mailing Address1755 S Naperville Rd, Suite 100Wheaton, IL 60189-5844 · (318) 465-5874
Phone(318) 465-5874
Organization SubpartYesParent: Avanti Medical Group
Authorized OfficialAmy GrahamVice President Medical Affairs · (318) 465-5874
Enumeration DateOctober 2, 2010
✔ NPI 1578872974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1801 MARKET DR, Stillwater, MN 55082
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA VANBENTHUYSEN PHARMD
Pharmacist
1801 MARKET DR
STILLWATER, MN 55082
Washington County (651) 430-2362
SUPERVALU PHARMACIES INC
Pharmacy (Community/Retail Pharmacy)
1801 MARKET DR
STILLWATER, MN 55082
Washington County (651) 430-2362
MRS. JACQUELYN GLORIA MUNSON RPH
Pharmacist
1801 MARKET DR
STILLWATER, MN 55082
Washington County (651) 430-2362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avanti Medical Group Of Minnesota LLC's NPI number?

The NPI number for Avanti Medical Group Of Minnesota LLC is 1578872974. It was assigned to this organization in the NPPES registry on October 2, 2010.

Where is Avanti Medical Group Of Minnesota LLC located?

Avanti Medical Group Of Minnesota LLC is located at 1801 Market Dr, Stillwater, MN 55082. The listed phone number is (318) 465-5874.

What is Avanti Medical Group Of Minnesota LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Avanti Medical Group Of Minnesota LLC was last updated on October 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.