Healthcare Provider Details

I. General information

NPI: 1508798513
Provider Name (Legal Business Name): NORTHSTAR CONCIERGE MED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 RIVER ST N
DELANO MN
55328-8264
US

IV. Provider business mailing address

PO BOX 71
DELANO MN
55328-0071
US

V. Phone/Fax

Practice location:
  • Phone: 651-443-2582
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMANDA BUZARD
Title or Position: OWNER/NP
Credential:
Phone: 651-443-2258