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

Diamond Lake Clinic, PC

Organization Health Service Clinic/Center · NPI 1740669498

Diamond Lake Clinic, PC is a Health Service Clinic/Center in Minneapolis, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5939 Portland Ave
Minneapolis, MN 55417-3127
Phone: (612) 806-3011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1497 White Bear Ave N, Saint Paul, MN 55106-2414 — (612) 869-4444

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X · Licence 52657 (MN)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X · Licence 53530 (MN)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 52657 (MN)
Point of Service Taxonomy 305S00000X · Licence 52657 (MN)

Record details

NPI number1740669498
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chukwuemeka Anyake — Physician · (612) 806-3011
NPI enumeratedMay 27, 2015
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing address5939 Portland Ave, Minneapolis, MN 55417-3127

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