Organization · Type 2 NPI

Columbia Park Medical Group, PA

Multi-Specialty Clinic/Center · Fridley, MN

NPI number 1336246735 Active

Practice location

6341 University Ave NE
Fridley, MN 55432-4946

Call (763) 572-5710 Map

Fax (763) 586-5888

Mailing address

6401 University Ave NE
Fridley, MN 55432-4341

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1336246735

Columbia Park Medical Group, PA's National Provider Identifier is 1336246735, issued on Sep 20, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Fridley, MN. The record was last updated on Nov 13, 2007.