Silver Lake Clinic
NPI #1053347179 in St Anthony, Minnesota
Provider Information
- NPI Number
- 1053347179
- Entity Type
- Organization
- Organization Name
- Silver Lake Clinic
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 23, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2600 39TH AVE NE
- City
- St Anthony
- State
- Minnesota
- ZIP Code
- 55421-4372
- Phone
- (612) 706-2900
Authorized Official
- Name
- MR. PATRICK BORAN
- Title
- CHIEF FINANCIAL OFFICER, VP FINANCE
- Phone
- (763) 520-5048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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