Organization
PARKAVENUE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNHIE LEE MD (MEDICAL DIRECTOR)
(612) 874-8811
Entity
Organization
Contact information
Practice address
2707 NICOLLET AVE, MINNEAPOLIS, MN 55408-1631
(612) 874-8811
Mailing address
2707 NICOLLET AVE, MINNEAPOLIS, MN 55408-1631
(612) 874-8811
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25230
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212067400
—
MN
Enumeration date
03/28/2007
Last updated
05/15/2008
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