Parkavenue Family Practice | |
2707 Nicollet Ave Minneapolis MN 55408-1631 | |
(612) 874-8811 | |
Not Available |
Full Name | Parkavenue Family Practice |
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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 |
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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 |
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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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