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

Fridley Target Clinic

Organization Primary Care Clinic/Center · NPI 1457437907

Fridley Target Clinic is a Primary Care Clinic/Center in Fridley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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Practice location Address checks out

755 53rd Ave NE
Fridley, MN 55421-1240
Phone: (763) 571-9361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 935 (MN)

Record details

NPI number1457437907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Millicent Wanjohi — Physician Assistant · (763) 571-9361
NPI enumeratedOctober 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address12375 Oak Park Blvd Ne, Apt # 206, Blaine, MN 55434-7302

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