Columbia Park Medical Group, PA
NPI #1386749851 in Blaine, Minnesota
Provider Information
- NPI Number
- 1386749851
- Entity Type
- Organization
- Organization Name
- Columbia Park Medical Group, PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COLUMBIA PARK MEDICAL GROUP, PA
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Sep 13, 2006
- Last Updated
- Nov 13, 2007
Practice Location
Authorized Official
- Name
- JOEN V CONDON
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (763) 586-5839
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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