| Northport Medical Center Ltd | |
|
5415 Brooklyn Blvd Brooklyn Center MN 55429-3359 | |
| (763) 533-8666 | |
| (763) 533-8711 |
| Full Name | Northport Medical Center Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 5415 Brooklyn Blvd, Brooklyn Center, Minnesota |
| Authorized Official Name and Position | Duane L Orn (OWNER) |
| Authorized Official Contact | 7635338666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northport Medical Center Ltd 5415 Brooklyn Blvd Brooklyn Center MN 55429-3359 Ph: (763) 533-8666 | Northport Medical Center Ltd 5415 Brooklyn Blvd Brooklyn Center MN 55429-3359 Ph: (763) 533-8666 |
| NPI Number | 1174684336 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174684336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 749 (Minnesota) | Primary |
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