Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spark Medical Providers PA

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1760374680

Spark Medical Providers PA provides Geriatric Medicine (Internal Medicine) Physician services in St Louis Park, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5320 W 23rd St Ste 130
St Louis Park, MN 55416-1670
Phone: (952) 345-8770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1760374680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Catherine Lauring — Ceo · (952) 345-8770
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670

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