NPI 1003423252

Good Clinic Mn PLLC

Organisation Primary Care Clinic/Center St Louis Park, MN

Practice location

Address: 4712 Excelsior Blvd, St Louis Park, MN 55416-3008
Phone: (844) 383-8689
Mailing address: 1660 Highway 100 S STE 432, St Louis Park, MN 55416-1533

Authorised official

Name: Kevin Lee Smith
Title: Chief Nurse Practitioner Officer
Phone: (763) 639-5327

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1003423252
Entity type: Organization
NPI issued: 30 Sep 2020
Record last updated: 14 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.