| NPI | 1275528671 |
|---|---|
| Doing Business As | FRIDLEY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CARL MATTHEW BRANDT CEO 763-785-7710 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 35) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 35) |
| 208000000X Pediatrics (Licence: MN 35) | |
| 207R00000X Internal Medicine (Licence: MN 35) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 35) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2014-12-29 |