Sparx Foundation | |
6417 Penn Ave S Ste 7-70 Minneapolis MN 55423-1186 | |
(952) 314-4448 | |
Not Available |
Full Name | Sparx Foundation |
---|---|
Speciality | Family Medicine |
Location | 6417 Penn Ave S Ste 7-70, Minneapolis, Minnesota |
Authorized Official Name and Position | Fardows O Salim (MD) |
Authorized Official Contact | 6617177224 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sparx Foundation 8449 Aldrich Ave S Bloomington MN 55420-2214 Ph: (661) 717-7224 | Sparx Foundation 6417 Penn Ave S Ste 7-70 Minneapolis MN 55423-1186 Ph: (952) 314-4448 |
NPI Number | 1295540102 |
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Provider Enumeration Date | 02/08/2025 |
Last Update Date | 02/08/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295540102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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