Individual provider · NPI-1

Clifton O Brock

Obstetrics & Gynecology · Minneapolis, MN

NPI number1023351350
StatusActive
Last updated in NPPESSep 3, 2026

Details

NPI
1023351350
Entity type
Individual (NPI-1)
Name
Mr. Clifton O Brock
Sex
Male
Sole proprietor
No
Enumeration date
Apr 4, 2013
Certification date
Sep 3, 2026
Last updated
Sep 3, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology71628MNYes
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine71628MN

Practice location

902 E 26th St Ste 1700
Minneapolis, MN 55404-4514

Phone 612-863-4502

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-262-5000

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