Unknown Individual – Family Medicine Physician, NPI 1902870769
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1833 2ND AVE S - MAIL STOP 39300A
RIVERWAY CLINIC - ANOKA
ANOKA, MN 553032432
Phone: (763) 587-4400
Fax: (763) 587-4205
Type: Location
33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States
MS21110Q
MINNEAPOLIS, MN 554254516
Phone: (952) 883-5375
Fax: (763) 587-4205
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55303)
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