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NPI Code Detail

MEDICARE: MIDPOINT MEDICAL CLINIC INC

MEDICARE: MIDPOINT MEDICAL CLINIC INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1366634024
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDPOINT MEDICAL CLINIC INC
Provider Business Mailing Address
First Line : 7240 BROOKLYN BLVD
Second Line : SUITE 200
City : BROOKLYN PARK
State : MN
Zip : 55429-1274
Country : US
Telephone Number : 763-566-2313
Fax Number :
Provider Business Practice Location Address
First Line : 7240 BROOKLYN BLVD
Second Line : SUITE 200
City : BROOKLYN PARK
State : MN
Zip : 55429-1274
Country : US
Telephone Number : 763-566-2313
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. HENRY MARANGA KERANDI
Credential : M.D
Telephone Number : 763-566-2313
Provider Enumeration Date : 08/15/2007
Last Update Date : 08/15/2007

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Directions to “MIDPOINT MEDICAL CLINIC INC ” Practice Location

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