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Columbia Park Medical Group, Pa
Eyewear Supplier in Columbia Heights, Minnesota
NPI 1619077575

Columbia Park Medical Group, Pa is a Eyewear Supplier based in Fridley, MN. Columbia Park Medical Group, Pa practices in Columbia Heights, MN. The NPI Number for Columbia Park Medical Group, Pa is 1619077575 and holds a License No. (Minnesota).

The current practice location address for Columbia Park Medical Group, Pa is 4000 Central Ave Ne, Columbia Heights, MN and can be reached out via phone at 763-572-5710 and via fax at 763-782-8100.

Location: 4000 Central Ave Ne, Columbia Heights, MN, 55432-4341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619077575
Provider Name
Columbia Park Medical Group, Pa
Credential
Provider Entity Type
Organization
Address
4000 Central Ave Ne, Columbia Heights, MN, 55432-4341
Phone Number
763-572-5710
Fax Number
763-782-8100
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21-00010 01 MN EYECRAFT LAB
21139 01 MN MEDICA EYEWARE
5C728CO 01 MN BCBS EYEWARE
126907 01 MN UCARE EYEWARE
institution
Provider Business Practice Location Address Details
Address
4000 Central Ave Ne
City
Columbia Heights
State
Minnesota
Zip
55421-2968
Phone Number
763-572-5710
Fax Number
763-782-8100
person
Provider Business Mailing Address Details
Address
4000 Central Ave Ne
City
Columbia Heights
State
Minnesota
Zip
55421-2968
Phone Number
763-572-5710
Fax Number
763-782-8100
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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