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

Noble Parkway Medical Clinic Professional Corporation

Organization Primary Care Clinic/Center · NPI 1043556517

Noble Parkway Medical Clinic Professional Corporation is a Primary Care Clinic/Center in Brooklyn Park, Minnesota. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

4808 85th Ave N Ste 300
Brooklyn Park, MN 55443
Phone: (763) 496-1562
Fax: (763) 657-0581
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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

Record details

NPI number1043556517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tajudeen Fawole — Ceo · (763) 496-1562
NPI enumeratedJanuary 2, 2013
Last updated in NPPESMay 16, 2013
Mailing address4808 85th Ave North, Suite 300, Brooklyn Park, MN 55443

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