| Sparx Foundation | |
|
6417 Penn Ave S Ste 7-70 Minneapolis MN 55423-1186 | |
| (952) 314-4448 | |
| Not Available |
| Full Name | Sparx Foundation |
|---|---|
| Speciality | Family Medicine |
| Location | 6417 Penn Ave S Ste 7-70, Minneapolis, Minnesota |
| Authorized Official Name and Position | Fardows O Salim (MD) |
| Authorized Official Contact | 9523144448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparx Foundation 6417 Penn Ave S Ste 7-70 Minneapolis MN 55423-1186 Ph: (952) 314-4448 | Sparx Foundation 6417 Penn Ave S Ste 7-70 Minneapolis MN 55423-1186 Ph: (952) 314-4448 |
| NPI Number | 1295540102 |
|---|---|
| Provider Enumeration Date | 02/08/2025 |
| Last Update Date | 02/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295540102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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