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

Apple Valley Medical Clinic, Ltd

Organization Family Medicine Physician · NPI 1366754434

Apple Valley Medical Clinic, Ltd is a Family Medicine Physician in Apple Valley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14655 Galaxie Ave
Apple Valley, MN 55124-8575
Phone: (952) 432-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 723 (MN)

Record details

NPI number1366754434
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationApple Valley Medical Clinic, Ltd
Authorized official Mark Pottenger — Administrator · (952) 953-9285
NPI enumeratedJuly 6, 2010
Last updated in NPPESJune 19, 2017
Mailing address14655 Galaxie Ave, Apple Valley, MN 55124-8575

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