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

Independent Medical Clinic PA

Organization Internal Medicine Physician · NPI 1316454077

Independent Medical Clinic PA is an Internal Medicine Physician in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2639 Nicollet Ave Ste 120
Minneapolis, MN 55408-1629
Phone: (612) 315-5145
Fax: (855) 670-9121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 44276 (MN)

Record details

NPI number1316454077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrick Townley — Owner · (612) 281-1298
NPI enumeratedJanuary 3, 2018
Last updated in NPPESJune 20, 2019
Mailing address2639 Nicollet Ave Ste 120, Minneapolis, MN 55408-1629

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