Organization · NPI-2

Camden Physicians Ltd.

Family Medicine · Plymouth, MN

NPI number1760436695
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1760436695
Entity type
Organization (NPI-2)
Legal business name
Camden Physicians Ltd.
Organization subpart
No
Enumeration date
May 22, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

9750 Rockford Rd
Plymouth, MN 55442-2893

Phone 763-559-3164 · Fax 763-559-9012

Mailing address

9800 Rockford Rd
Suite 100
Plymouth, MN 55442-2811

Phone 763-559-0092 · Fax 763-559-9404

Authorized official

Gary Allan Hanson
Business Office Manager
7635590092

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