Organization
NORTHPORT MEDICAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE L ORN MD (OWNER)
(763) 533-8666
Entity
Organization
Contact information
Practice address
5415 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-3359
(763) 533-8666
(763) 533-8711
Mailing address
5415 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-3359
(763) 533-8666
(763) 533-8711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
749
MN
Other
Enumeration date
12/12/2006
Last updated
02/15/2008
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