FONG MEDICAL CLINIC, PA
NPI 1316043425
Clinic/Center in Stillwater, MN
- Organization
- Clinic/Center
About FONG MEDICAL CLINIC, PA
This page provides the complete NPI Profile along with additional information for Fong Medical Clinic, Pa, a provider established in Stillwater, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1316043425 assigned on September 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 39331 (MN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Milton Tan Fong Md (President)
- NPI
- 1316043425 Verify this NPI
- Provider Name
- FONG MEDICAL CLINIC, PA
- Entity Type
- Organization
- Location Address
- 105 NEW ENGLAND PL SUITE 220 STILLWATER, MN 55082
- Location Phone
- (651) 731-3664
- Location Fax
- (651) 430-9981
- Mailing Address
- 105 NEW ENGLAND PL SUITE 220 STILLWATER, MN 55082
- Mailing Phone
- (651) 731-3664
- Mailing Fax
- (651) 430-9981
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-15-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 39331
- License State
- MN
- Taxonomy Description
- 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).
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316043425, enumerated as an "organization" on September 15, 2006.
The provider is located at 105 NEW ENGLAND PL SUITE 220 STILLWATER, MN 55082 and the phone number is (651) 731-3664.
Clinic/Center with taxonomy code 261Q00000X.
