Organization · Type 2 NPI
Premise Health of Minnesota Medical PC
Multi-Specialty Clinic/Center · Fridley, MN
NPI number
1871079897
Active
Practice location
1400 73rd Ave NE
Fridley, MN 55432-3702
Fax (763) 528-7234
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Another provider at this address
Other multi-specialty clinic/center providers in Fridley
About NPI 1871079897
Premise Health of Minnesota Medical PC's National Provider Identifier is 1871079897, issued on Jul 12, 2018. 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 Feb 5, 2026.