| Park Avenue Family Practice | |
|
651 Arcade St Saint Paul MN 55106-4518 | |
| (651) 771-5388 | |
| Not Available |
| Full Name | Park Avenue Family Practice |
|---|---|
| Speciality | Clinic/center |
| Location | 651 Arcade St, Saint Paul, Minnesota |
| Authorized Official Name and Position | Sunhie Lee (PHYSICIAN) |
| Authorized Official Contact | 6517715388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Family Practice 651 Arcade St Saint Paul MN 55106-4518 Ph: (651) 771-5388 | Park Avenue Family Practice 651 Arcade St Saint Paul MN 55106-4518 Ph: (651) 771-5388 |
| NPI Number | 1790033249 |
|---|---|
| Provider Enumeration Date | 08/15/2012 |
| Last Update Date | 08/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790033249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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