FRIDLEY TARGET CLINIC
NPI 1457437907
Clinic/Center - Primary Care in Fridley, MN

Active since October 27, 2006
755 53RD AVE NE, FRIDLEY, MN 55421(763) 571-9361 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fridley Target Clinic NPPES

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

FRIDLEY TARGET CLINIC (NPI 1457437907) is a healthcare organization registered as a primary care in Fridley, Minnesota and active in the NPI registry since October 2006. The organization lists Millicent Wanjohi, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1457437907
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFRIDLEY TARGET CLINIC
Location Address755 53RD AVE NEFridley, MN 55421-1240
Mailing Address12375 Oak Park Blvd Ne, Apt # 206Blaine, MN 55434-7302 · (763) 862-9656
Organization SubpartNo
Authorized OfficialMillicent WanjohiPhysician Assistant · (763) 571-9361
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1457437907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MN · 935
755 53RD AVE NE, Fridley, MN 55421

Other Providers at the Same Location NPPES 14

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

Physician Assistant (Medical)
755 53RD AVE NE
FRIDLEY, MN 55421
Physician Assistant
755 53RD AVE NE
FRIDLEY, MN 55421
Pharmacist
755 53RD AVE NE
FRIDLEY, MN 55421
Physician Assistant (Medical)
755 53RD AVE NE
FRIDLEY, MN 55421
Pharmacist (Ambulatory Care)
755 53RD AVE NE
FRIDLEY, MN 55421
Pharmacist
755 53RD AVE NE
FRIDLEY, MN 55421
Pharmacist
755 53RD AVE NE
FRIDLEY, MN 55421
Physician Assistant
755 53RD AVE NE, CVS MINUTE CLINIC
FRIDLEY, MN 55421

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 Fridley Target Clinic's NPI number?

The NPI number for Fridley Target Clinic is 1457437907. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Fridley Target Clinic located?

Fridley Target Clinic is located at 755 53rd Ave NE, Fridley, MN 55421. The listed phone number is (763) 571-9361.

What is Fridley Target Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Fridley Target Clinic was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.