Organization
INDEPENDENT MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK R TOWNLEY MD (OWNER)
(612) 281-1298
Entity
Organization
Contact information
Practice address
2639 NICOLLET AVE STE 120, MINNEAPOLIS, MN 55408-1629
(612) 315-5145
(855) 670-9121
Mailing address
2639 NICOLLET AVE STE 120, MINNEAPOLIS, MN 55408-1629
(612) 315-5145
(855) 670-9121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44276
MN
Other
Enumeration date
01/03/2018
Last updated
06/20/2019
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