COLUMBIA PARK MEDICAL GROUP, PA

BLAINE, MN
NPI1386749851
Other NameCPMG-BLAINE CLINIC
Entity TypeOrganization
Authorized ContactJOEN V CONDON
Chief Financial Officer
763-586-5839
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2006-09-13
Last Update Date2007-11-13
Business Address
COLUMBIA PARK MEDICAL GROUP, PA
10961 CLUB WEST PKWY
BLAINE, MN 55449-4671
Phone number: 763-572-5710
Mailing Address
COLUMBIA PARK MEDICAL GROUP, PA
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432-4341
Phone number: 763-572-5710