North Clinic, PA

NPI #1639643455 in Crystal, Minnesota

Provider Information

NPI Number: 1639643455
Entity Type: Organization
Organization Name: North Clinic, PA
Primary Specialty: Family Medicine
Enumeration Date: Jan 15, 2019
Last Updated: Dec 23, 2022

Practice Location

Address: 5109 36TH AVE N
City: Crystal
State: Minnesota
ZIP Code: 55422-2007
Phone: (763) 587-7900

Authorized Official

Name: SCOTT RICHARD COLSON, MD
Title: PRESIDENT
Phone: (763) 587-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X
Internal Medicine - Rheumatology — Rheumatology	207RR0500X
Obstetrics & Gynecology	207V00000X
Colon & Rectal Surgery	208C00000X
Podiatrist	213E00000X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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