| North Memorial Health Clinic - Maple Grove Family Medicine | |
|
9855 Hospital Dr Maple Grove MN 55369-4648 | |
| (763) 581-5800 | |
| (763) 581-5801 |
| Full Name | North Memorial Health Clinic - Maple Grove Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9855 Hospital Dr, Maple Grove, Minnesota |
| Authorized Official Name and Position | Dan Fromm (VP, CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7635814614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Memorial Health Clinic - Maple Grove Family Medicine 9855 Hospital Dr Ste 102 Maple Grove MN 55369-4648 Ph: (763) 581-5800 | North Memorial Health Clinic - Maple Grove Family Medicine 9855 Hospital Dr Maple Grove MN 55369-4648 Ph: (763) 581-5800 |
| NPI Number | 1003247396 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003247396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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