Organization
PARK AVENUE FAMILY PRACTICE
Active
Parent organization
PARK AVENUE FAMILY PRACTICE
Other names
Arcade Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARK AVENUE FAMILY PRACTICE
Authorized official
KAREN LEE MD (PHYSICIAN)
(651) 771-5388
Entity
Organization
Contact information
Practice address
651 ARCADE ST, ST PAUL, MN 55106
(651) 771-5388
Mailing address
651 ARCADE ST, ST PAUL, MN 55106
(651) 771-5388
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
564133100
—
MN
Enumeration date
09/05/2012
Last updated
09/05/2012
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