Organization · Type 2 NPI

Northeast Clinic PLLC

Family Medicine Physician · Minneapolis, MN

NPI number 1508711235 Active

Practice location

3620 Central Ave NE Ste 4
Minneapolis, MN 55418-1377

Fax (952) 242-9153

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

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.

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About NPI 1508711235

Northeast Clinic PLLC's National Provider Identifier is 1508711235, issued on Feb 27, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 27, 2026.