Columbia Park Medical Group, PA

NPI #1497847644 in Blaine, Minnesota

Provider Information

NPI Number
1497847644
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
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 28, 2006
Last Updated
Nov 13, 2007

Practice Location

Address
10961 CLUB WEST PKWY
City
Blaine
ZIP Code
55449-4671
Phone
(763) 572-5710

Authorized Official

Name
JOEN V CONDON
Title
CHIEF FINANCIAL OFFICER
Phone
(763) 586-5839

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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