Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anoka Area Family Medicine Clinic, PA

Organization Family Medicine Physician · NPI 1790709830

Anoka Area Family Medicine Clinic, PA is a Family Medicine Physician in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3883 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2518
Phone: (763) 421-2273
Fax: (763) 421-2236
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 30144 (MN)

Record details

NPI number1790709830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Loes — Director · (763) 421-2273
NPI enumeratedJuly 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address14569 Waco St Nw, Ramsey, MN 55303-6181

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