MIDWAY MEDICAL CLINIC STEVEN P. RADJENOVICH D.O. LLC
NPI 1184610974
Family Medicine in Alexandria, MN

Active since September 27, 2005
119 30TH AVE W, ALEXANDRIA, MN 56308(320) 763-6452(320) 763-2971 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Midway Medical Clinic Steven P. Radjenovich D.o. Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWAY MEDICAL CLINIC STEVEN P. RADJENOVICH D.O. LLC (NPI 1184610974) is a healthcare organization registered as a family medicine in Alexandria, Minnesota and active in the NPI registry since September 2005. The organization lists Steven Perl Radjenovich, President, as its authorized official.

NPPES Registry Identity

NPI1184610974
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMIDWAY MEDICAL CLINIC STEVEN P. RADJENOVICH D.O. LLC
Location Address119 30TH AVE WAlexandria, MN 56308-3433
Mailing Address119 30th Ave WAlexandria, MN 56308-3433 · (320) 763-6452 · Fax (320) 763-2971
Fax(320) 763-2971
Organization SubpartNo
Authorized OfficialSteven Perl RadjenovichPresident · (320) 763-6452
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJanuary 31, 2013
✔ NPI 1184610974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 22233
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
119 30TH AVE W, Alexandria, MN 56308

Other Identifiers 2

Medicare PINC03489
Medicaid449883600MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midway Medical Clinic Steven P. Radjenovich D.O. LLC's NPI number?

The NPI number for Midway Medical Clinic Steven P. Radjenovich D.O. LLC is 1184610974. It was assigned to this organization in the NPPES registry on September 27, 2005.

Where is Midway Medical Clinic Steven P. Radjenovich D.O. LLC located?

Midway Medical Clinic Steven P. Radjenovich D.O. LLC is located at 119 30th Ave W, Alexandria, MN 56308. The listed phone number is (320) 763-6452.

What is Midway Medical Clinic Steven P. Radjenovich D.O. LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Midway Medical Clinic Steven P. Radjenovich D.O. LLC was last updated on January 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.