Organization
SPARX FOUNDATION
Active
Other names
Primecare of Minnesota
Organization subpart
No
Provider details
NPI number
Authorized official
FARDOWS O SALIM MD (MD)
(952) 314-4448
Entity
Organization
Contact information
Practice address
6417 PENN AVE S STE 7-70, MINNEAPOLIS, MN 55423-1186
(952) 314-4448
Mailing address
6417 PENN AVE S STE 7-70, MINNEAPOLIS, MN 55423-1186
(952) 314-4448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/08/2025
Last updated
02/14/2025
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