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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
SUNHIE LEE MD (PHYSICIAN)
(651) 771-5388
Entity
Organization

Contact information

Practice address
651 ARCADE ST, SAINT PAUL, MN 55106-4518
(651) 771-5388
Mailing address
651 ARCADE ST, SAINT PAUL, MN 55106-4518
(651) 771-5388

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
08/15/2012
Last updated
08/15/2012
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