Organization · Type 2 NPI

Diamond Lake Clinic, P.c.

Health Service Clinic/Center · Minneapolis, MN

NPI number 1740669498 Active

Practice location

5939 Portland Ave
Minneapolis, MN 55417-3127

Call (612) 806-3011 Map

Other practice locations

  • 1497 White Bear Ave N, St. Paul, MN 55106-2414 · (612) 869-4444

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100X52657 (MN)
Adult Mental Health Clinic/Center 261QM0850X53530 (MN)
Primary Care Clinic/Center 261QP2300X52657 (MN)
Point of Service 305S00000X52657 (MN)

Health Service Clinic/Center: Definition to come...

6 other providers at this address

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About NPI 1740669498

Diamond Lake Clinic, P.c.'s National Provider Identifier is 1740669498, issued on May 27, 2015. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 1, 2025.