FONG MEDICAL CLINIC, PA
NPI 1316043425
Clinic/Center in Stillwater, MN

Active since September 15, 2006
105 NEW ENGLAND PL, SUITE 220, STILLWATER, MN 55082(651) 731-3664(651) 430-9981 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fong Medical Clinic, Pa NPPES

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

FONG MEDICAL CLINIC, PA (NPI 1316043425) is a healthcare organization registered as a clinic/center in Stillwater, Minnesota and active in the NPI registry since September 2006. The organization lists Milton Tan Fong, President, as its authorized official.

NPPES Registry Identity

NPI1316043425
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFONG MEDICAL CLINIC, PA
Location Address105 NEW ENGLAND PL, SUITE 220Stillwater, MN 55082-5783
Mailing Address105 New England Pl, Suite 220Stillwater, MN 55082-5783 · (651) 731-3664 · Fax (651) 430-9981
Fax(651) 430-9981
Organization SubpartNo
Authorized OfficialMilton Tan FongPresident · (651) 731-3664
Enumeration DateSeptember 15, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1316043425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in MN · 39331
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
105 NEW ENGLAND PL, Stillwater, MN 55082

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Naturopath
105 NEW ENGLAND PL, SUITE 220
STILLWATER, MN 55082
Naturopath
105 NEW ENGLAND PL, SUITE 220
STILLWATER, MN 55082

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 Fong Medical Clinic, PA's NPI number?

The NPI number for Fong Medical Clinic, PA is 1316043425. It was assigned to this organization in the NPPES registry on September 15, 2006.

Where is Fong Medical Clinic, PA located?

Fong Medical Clinic, PA is located at 105 New England Pl Suite 220, Stillwater, MN 55082. The listed phone number is (651) 731-3664.

What is Fong Medical Clinic, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Fong Medical Clinic, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.