DIAMOND LAKE CLINIC, P.C. is a primary care clinic center in Minneapolis, MN. DIAMOND LAKE CLINIC, P.C. NPI is 1740669498. The provider is registered as an organization entity type.
The provider's business location address is:
5939 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55417-127
Phone: (612) 806-3011
The provider's authorized official is Chukwuemeka Alexander Anyake .
The authorized official title is Physician and has the following contact phone number (612) 806-3011.
The CLIA number assigned to this NPI record is 24D2279169 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/27/2015 and was last updated on 5/27/2015.