Life Clinic Medical, PA

NPI #1942546692 in St Louis Park, Minnesota

Provider Information

NPI Number
1942546692
Entity Type
Organization
Organization Name
Life Clinic Medical, PA
Primary Specialty
Internal Medicine
Enumeration Date
Dec 28, 2012
Last Updated
May 17, 2013

Practice Location

Address
5525 CEDAR LAKE RD S
ZIP Code
55416-1420
Phone
(866) 240-8437

Authorized Official

Name
DR. KAMBIZ FARBAKHSH, M.D.
Title
OWNER/ FOUNDER
Phone
(866) 240-8437

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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