DAKOTA MEDICAL CLINIC PA NPI 1871983478

NPI Information

NPI: 1871983478
Provider Name: DAKOTA MEDICAL CLINIC, PA
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3408 DAKOTA AVE S
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 924-1053
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DAKOTA MEDICAL CLINIC, PA is a health service clinic center in St Louis Park, MN. DAKOTA MEDICAL CLINIC, PA NPI is 1871983478. The provider is registered as an organization entity type.

The provider's business location address is:

3408 DAKOTA AVE S
ST LOUIS PARK, MN
ZIP 55416-312
Phone: (952) 924-1053
Fax: (952) 924-0254

The provider's authorized official is Michael Dole .
The authorized official title is Owner and has the following contact phone number (952) 924-1053.

The enumeration date for this NPI number is 2/3/2015 and was last updated on 2/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	29325	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A94054	MEDICARE UPIN	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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