Columbia Park Medical Group, PA
NPI #1609971159 in Columbia Heights, Minnesota
Provider Information
- NPI Number
- 1609971159
- 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
- Address
- 4000 CENTRAL AVE NE
- City
- Columbia Heights
- State
- Minnesota
- ZIP Code
- 55421-2968
- Phone
- (763) 572-5710
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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