Fridley Target Clinic

NPI #1457437907 in Fridley, Minnesota

Provider Information

NPI Number
1457437907
Entity Type
Organization
Organization Name
Fridley Target Clinic
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 27, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
755 53RD AVE NE
ZIP Code
55421-1240
Phone
(763) 571-9361

Authorized Official

Name
MS. MILLICENT WANJOHI, PA-C
Title
PHYSICIAN ASSISTANT
Phone
(763) 571-9361

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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