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Columbia Park Medical Group, Pa
Eyewear Supplier in Andover, Minnesota
NPI 1326147505

Columbia Park Medical Group, Pa is a Eyewear Supplier based in Fridley, MN. Columbia Park Medical Group, Pa practices in Andover, MN. The NPI Number for Columbia Park Medical Group, Pa is 1326147505 and holds a License No. (Minnesota).

The current practice location address for Columbia Park Medical Group, Pa is 13819 Hanson Blvd Nw, Andover, MN and can be reached out via phone at 763-572-5710 and via fax at 763-862-4415.

Location: 13819 Hanson Blvd Nw, Andover, MN, 55432-4341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326147505
Provider Name
Columbia Park Medical Group, Pa
Credential
Provider Entity Type
Organization
Address
13819 Hanson Blvd Nw, Andover, MN, 55432-4341
Phone Number
763-572-5710
Fax Number
763-862-4415
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21181 01 MN MEDICA EYEWARE
52Q42CO 01 MN BCBS EYEWARE
126908 01 MN UCARE EYEWARE
21-00115 01 MN EYECRAFT LAB
institution
Provider Business Practice Location Address Details
Address
13819 Hanson Blvd Nw
City
Andover
State
Minnesota
Zip
55304-7608
Phone Number
763-572-5710
Fax Number
763-862-4415
person
Provider Business Mailing Address Details
Address
13819 Hanson Blvd Nw
City
Andover
State
Minnesota
Zip
55304-7608
Phone Number
763-572-5710
Fax Number
763-862-4415
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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