Parkavenue Family Practice in Minneapolis - Clinic/center

Parkavenue Family Practice - NPI 1154440626

Parkavenue Family Practice is a Clinic/center in Minneapolis, Minnesota. Parkavenue Family Practice practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Parkavenue Family Practice is 1154440626. The last update date is 2008-05-15.

Parkavenue Family Practice's current location address is 2707 Nicollet Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128748811. The mailing address for Parkavenue Family Practice is 2707 Nicollet Ave, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Parkavenue Family Practice
Address 2707 Nicollet Ave, Minneapolis, Minnesota
Phone Number 6128748811
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Lee Sunhie
Credentials MD
Telephone Number 6128748811

NPI Number Detail

NPI Number 1154440626
Provider Enumeration Date 2007-03-28
Last Updated Date 2008-05-15

Provider Mailing Address Detail

Address 2707 Nicollet Ave
City Minneapolis
State Minnesota (MN)
Post Code 554081631
Phone Number 6128748811
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No 25230
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
212067400 MN --

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FAQs about Parkavenue Family Practice

What is the unique provider identifier assigned to Parkavenue Family Practice?

The Parkavenue Family Practice has been issued the NPI (National Provider Identifier) 1154440626 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Parkavenue Family Practice is physically located?

The Parkavenue Family Practice is situated at the following address: 2707 Nicollet Ave, Minneapolis, MN 554081631.

What is Parkavenue Family Practice's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Parkavenue Family Practice's specialized field of practice is Clinic/center, and the corresponding taxonomy code that categorizes this area of specialization is 261Q00000X.

On what date did the Parkavenue Family Practice receive the assignment of its 1154440626 from the Centers for Medicare & Medicaid Services?

The Parkavenue Family Practice was issued its 1154440626 by the Centers for Medicare & Medicaid Services on 2007-03-28.

When was the Parkavenue Family Practice's information last updated?

The Parkavenue Family Practice's information was last updated on 2008-05-15.

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