Columbia Park Medical Group, PA
Columbia Park Medical Group, PA is an Eyewear Supplier in Fridley, 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.
Practice location Address checks out
6341 University Ave NEFridley, MN 55432-4946
Phone: (763) 572-5718
Fax: (763) 572-0318
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X (MN) |
|---|
Record details
| NPI number | 1205933611 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Columbia Park Medical Group |
| Authorized official | Joen Condon — Chief Financial Officer · (763) 586-5839 |
| Other names | Fridley Plaza - Eyeware |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | November 13, 2007 |
| Mailing address | 6401 University Ave Ne, Fridley, MN 55432-4341 |
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