| Parkavenue Family Practice | |
|
2707 Nicollet Ave Minneapolis MN 55408-1631 | |
| (612) 874-8811 | |
| Not Available |
| Full Name | Parkavenue Family Practice |
|---|---|
| Speciality | Clinic/center |
| Location | 2707 Nicollet Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Sunhie Lee (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6128748811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkavenue Family Practice 2707 Nicollet Ave Minneapolis MN 55408-1631 Ph: (612) 874-8811 | Parkavenue Family Practice 2707 Nicollet Ave Minneapolis MN 55408-1631 Ph: (612) 874-8811 |
| NPI Number | 1154440626 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154440626 | NPI | - | NPPES |
| 212067400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 25230 (Minnesota) | Primary |
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