Organization
NORTHWEST FAMILY PHYSICIANS PA
Active
Parent organization
NORTHWEST FAMILY PHYSICIANS PA
Other names
Northwest Family Clinics
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST FAMILY PHYSICIANS PA
Authorized official
DR. CHRIS A STUART MD (DOCTOR)
(763) 504-6500
Entity
Organization
Contact information
Practice address
5502 W BROADWAY AVE, SUITE 200, CRYSTAL, MN 55428-3508
(763) 504-6500
(763) 504-6544
Mailing address
5700 BOTTINEAU BLVD., SUITE 100, CRYSTAL, MN 55429
(763) 504-6500
(763) 531-2105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
469208000
—
MN
Enumeration date
09/15/2006
Last updated
10/26/2023
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