| Cpmg-brooklyn Park Clinic | |
|
10000 Zane Ave N Brooklyn Park MN 55443-1400 | |
| (763) 572-5710 | |
| (763) 569-6200 |
| Full Name | Cpmg-brooklyn Park Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 10000 Zane Ave N, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Joen V Condon (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7635865839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpmg-brooklyn Park Clinic 6401 University Ave Ne Fridley MN 55432-4341 Ph: (763) 572-5710 | Cpmg-brooklyn Park Clinic 10000 Zane Ave N Brooklyn Park MN 55443-1400 Ph: (763) 572-5710 |
| NPI Number | 1215032743 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215032743 | NPI | - | NPPES |
| CT1003 | Other | MN | MEDICARE RAILROAD |
| UC0022 | Other | MN | UCARE URGENT CARE |
| 98-01410 | Other | MN | MEDICA CLINIC NUMBER |
| 8477 | Other | MN | HEALTHPARTNERS |
| 104022 | Other | MN | UCARE MN |
| 02071BR | Other | MN | BCBS OF MN |
| 98-66164 | Other | MN | MEDICA URGENT CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Minnesota) | Primary |
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