Columbia Park Medical Group, PA
Columbia Park Medical Group, PA is an Allergy & Immunology Physician in Fridley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.
- Licensed in
- MN
- In the registry since
- 2006
- Specialties on file
- 15
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6401 University Ave NE Ste 200Fridley, MN 55432-4341
Phone: (763) 572-5710
Fax: (763) 571-3008
Show map & directions
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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 147 (MN) |
|---|---|
| Allergy & Immunology Physician | Taxonomy 207K00000X · Licence 147 (MN) |
| Dermatology Physician | Taxonomy 207N00000X · Licence 147 (MN) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 147 (MN) |
| Endocrinology, Diabetes & Metabolism Physician | Taxonomy 207RE0101X · Licence 147 (MN) |
| Infectious Disease Physician | Taxonomy 207RI0200X · Licence 147 (MN) |
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X · Licence 147 (MN) |
| Ophthalmology Physician | Taxonomy 207W00000X · Licence 147 (MN) |
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence 147 (MN) |
| Otolaryngology Physician | Taxonomy 207Y00000X · Licence 147 (MN) |
| Pediatrics Physician | Taxonomy 208000000X · Licence 147 (MN) |
| Occupational Medicine Physician | Taxonomy 2083X0100X · Licence 147 (MN) |
| Surgery Physician | Taxonomy 208600000X · Licence 147 (MN) |
| Urology Physician | Taxonomy 208800000X · Licence 147 (MN) |
| Hospitalist Physician | Taxonomy 208M00000X · Licence 147 (MN) |
Record details
| NPI number | 1932150117 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joen Condon — Chief Financial Officer · (763) 586-5839 |
| NPI enumerated | May 13, 2006 |
| Last updated in NPPES | November 13, 2007 |
| Mailing address | 6401 University Ave Ne, Suite 200, Fridley, MN 55432-4341 |
Other providers in Fridley
-
Hiba Bashir, MD
6341 University Ave NE, Fridley, MN 55432-4946 · (763) 586-5844