Organization

Zenith Medical Clinic

Family Medicine Physician in Brooklyn Park, MN(View on Map)

Legal Business Name

Zenith Medical Clinic

NPI Number

1366569782

NPI Type

Organization

Enumeration Date

03/22/2007

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

46773

Contact
Information

Purpose

Mailing
Location

Address

6800 78TH AVE N
6800 78TH AVE N

City

Brooklyn Park
Brooklyn Park

State

MN
MN

Postal Code

55445-2758
55445-2758

Country

US
US

Telephone Number

(763) 503-1122
(763) 503-1122

Authorized Official

Name

Dr. Robert Larbi-odam

Title or Position

OWNER

Telephone Number

(763) 503-1122

Identifiers

Identifier

1457311409

Identifier State

MN

Identifier Issuer

INDIVIDUAL NPI #

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address

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