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Columbia Park Medical Group, Pa
Eyewear Supplier in Fridley, Minnesota
NPI 1205933611

Columbia Park Medical Group, Pa is a Eyewear Supplier based in Fridley, MN. Columbia Park Medical Group, Pa practices in Fridley, MN. The NPI Number for Columbia Park Medical Group, Pa is 1205933611 and holds a License No. (Minnesota).

The current practice location address for Columbia Park Medical Group, Pa is 6341 University Ave Ne, Fridley, MN and can be reached out via phone at 763-572-5718 and via fax at 763-572-0318. You can also correspond with Columbia Park Medical Group, Pa through the mailing address at 6401 UNIVERSITY AVE NE, FRIDLEY, MN - 55432-4341 (mailing address contact number: 763-572-5710).

Location: 6341 University Ave Ne, Fridley, MN, 55432-4341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205933611
Provider Name
Columbia Park Medical Group, Pa
Credential
Provider Entity Type
Organization
Address
6341 University Ave Ne, Fridley, MN, 55432-4341
Phone Number
763-572-5718
Fax Number
763-572-0318
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5C734CO 01 MN BCBS EYEWARE
21140 01 MN MEDICA EYEWARE
21-00011 01 MN EYECRAFT LAB
126906 01 MN UCARE EYEWARE
institution
Provider Business Practice Location Address Details
Address
6341 University Ave Ne
City
Fridley
State
Minnesota
Zip
55432-4946
Phone Number
763-572-5718
Fax Number
763-572-0318
person
Provider Business Mailing Address Details
Address
6341 University Ave Ne
City
Fridley
State
Minnesota
Zip
55432-4946
Phone Number
763-572-5718
Fax Number
763-572-0318
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
(Minnesota)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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