Organization · Type 2 NPI

Apple Valley Medical Clinic, Ltd.

Family Medicine Physician · Apple Valley, MN

NPI number 1346550555 Active

Practice location

15100 Galaxie Ave
Apple Valley, MN 55124

Call (952) 432-6161 Map

Fax (952) 891-3921

Mailing address

14655 Galaxie Ave
Apple Valley, MN 55124

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	723 (MN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other family medicine physician providers in Apple Valley

See all in Apple Valley →

NPI record

NPI: 1346550555
Entity type: Organization (Type 2)
Issued: Oct 21, 2010
Last updated: Jun 19, 2017
Status: Active
Subpart: Yes of Apple Valley Medical Clinic, Ltd.

Other names

<unavail>
Apple Valley Medical Center Sleep Lab · other name

Authorized official

Mark Pottenger
Administrator
(952) 953-9285

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1346550555

Apple Valley Medical Clinic, Ltd.'s National Provider Identifier is 1346550555, issued on Oct 21, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Apple Valley, MN. The record was last updated on Jun 19, 2017.