Organization
MULTICARE ASSOCIATES OF THE TWIN CITIES,PA
Active
Parent organization
MULTICARE ASSOCIATES OF THE TWIN CITIES, PA
Other names
Fridley Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MULTICARE ASSOCIATES OF THE TWIN CITIES, PA
Authorized official
MR. CARL MATTHEW BRANDT (CEO)
(763) 785-7710
Entity
Organization
Contact information
Practice address
480 OSBORNE RD NE, SUITE 100, FRIDLEY, MN 55432-2773
(763) 785-4500
(763) 785-3314
Mailing address
480 OSBORNE RD NE, SUITE 100, FRIDLEY, MN 55432-2773
(763) 785-4500
(763) 785-3314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35
MN
207R00000X
Internal Medicine Physician
35
MN
207V00000X
Obstetrics & Gynecology Physician
35
MN
208000000X
Pediatrics Physician
35
MN
2083X0100X
Occupational Medicine Physician
35
MN
Other
Enumeration date
09/13/2005
Last updated
12/29/2014
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