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Fong Medical Clinic, Pa
Clinic/Center in Stillwater, Minnesota
NPI 1316043425

Fong Medical Clinic, Pa is a Clinic/Center based in Stillwater, MN. Fong Medical Clinic, Pa practices in Stillwater, MN. The NPI Number for Fong Medical Clinic, Pa is 1316043425 and holds a License No. 39331 (Minnesota).

The current practice location address for Fong Medical Clinic, Pa is 105 New England Pl, Stillwater, MN and can be reached out via phone at 651-731-3664 and via fax at 651-430-9981.

Location: 105 New England Pl, Stillwater, MN, 55082-5783
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316043425
Provider Name
Fong Medical Clinic, Pa
Credential
Provider Entity Type
Organization
Address
105 New England Pl, Stillwater, MN, 55082-5783
Phone Number
651-731-3664
Fax Number
651-430-9981
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
105 New England Pl
City
Stillwater
State
Minnesota
Zip
55082-5783
Phone Number
651-731-3664
Fax Number
651-430-9981
person
Provider Business Mailing Address Details
Address
105 New England Pl
City
Stillwater
State
Minnesota
Zip
55082-5783
Phone Number
651-731-3664
Fax Number
651-430-9981
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
39331 (Minnesota)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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