Organization
PATIENT CENTERED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEHINDE NGW (MANAGER)
(763) 221-3293
Entity
Organization
Contact information
Practice address
8240 HAMPSHIRE CT N, BROOKLYN PARK, MN 55445
(763) 221-3293
Mailing address
8240 HAMPSHIRE CT N, BROOKLYN PARK, MN 55445-2539
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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