institution
Columbia Park Medical Group, Pa
Multi-Specialty Clinic/Center in Blaine, Minnesota
NPI 1386749851

Columbia Park Medical Group, Pa is a Multi-Specialty Clinic/Center based in Fridley, MN and is specialized in Multi-Specialty. Columbia Park Medical Group, Pa practices in Blaine, MN. The NPI Number for Columbia Park Medical Group, Pa is 1386749851 and holds a License No. (Minnesota).

The current practice location address for Columbia Park Medical Group, Pa is 10961 Club West Pkwy, Blaine, MN and can be reached out via phone at 763-572-5710 and via fax at 763-528-2945.

Location: 10961 Club West Pkwy, Blaine, MN, 55432-4341
institution
Provider Profile Details
NPI Number
1386749851
Provider Name
Columbia Park Medical Group, Pa
Credential
Provider Entity Type
Organization
Address
10961 Club West Pkwy, Blaine, MN, 55432-4341
Phone Number
763-572-5710
Fax Number
763-528-2945
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02071BR 01 MN BCBS OF MN
UC0035 01 MN UCARE URGENT CARE
181992 01 MN UCARE CLINIC NUMBER
CT1003 01 MN MEDICARE RAILROAD
AQ909 01 MN PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
10961 Club West Pkwy
City
State
Zip
55449-4671
Phone Number
763-572-5710
Fax Number
763-528-2945
person
Provider Business Mailing Address Details
Address
10961 Club West Pkwy
City
State
Zip
55449-4671
Phone Number
763-572-5710
Fax Number
763-528-2945
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
(Minnesota)
Definition
Definition to come...
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