Columbia Park Medical Group, Pa
Family Medicine Clinic
6401 University Ave Ne, Suite 200, Fridley
Minnesota, 55432-4341
763-572-5710 763-571-3008
Maps & DirectionsColumbia Park Medical Group, Pa is a Dermatology Clinic in Fridley, Minnesota. It is situated at 6401 University Ave Ne, Suite 200, Fridley and its contact number is 763-572-5710. The authorized person of Columbia Park Medical Group, Pa is Joen V Condon
who is Chief Financial Officer of the clinic and their contact number is 763-586-5839. Primary license number for Columbia Park Medical Group, Pa is 147 (Family Medicine) in Minnesota.
Columbia Park Medical Group, Pa Clinic A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Complete Profile:
Columbia Park Medical Group, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Specialization: | Dermatology |
| Clinic Address: | 6401 University Ave Ne, Suite 200, Fridley, Minnesota, 55432-4341 |
| Phone: | 763-572-5710 |
| Fax: | 763-571-3008 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Joen V Condon |
| Position: | Chief Financial Officer |
| Contact Number: | 763-586-5839 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Columbia Park Medical Group, Pa Clinic are as mentioned below.
| NPI Number: | 1932150117 |
| NPI Enumeration Date: | 13 May, 2006 |
| NPI Last Update On: | 13 Nov, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Columbia Park Medical Group, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Family Medicine | 147 | Minnesota | Primary | |
| Dermatology | 147 | Minnesota | Secondary | |
| Allergy & Immunology | 147 | Minnesota | Secondary | |
| Internal Medicine | 147 | Minnesota | Secondary | |
| Endocrinology, Diabetes & Metabolism | 147 | Minnesota | Secondary | |
| Infectious Disease | 147 | Minnesota | Secondary | |
| Obstetrics & Gynecology | 147 | Minnesota | Secondary | |
| Ophthalmology | 147 | Minnesota | Secondary | |
| Orthopaedic Surgery | 147 | Minnesota | Secondary | |
| Otolaryngology | 147 | Minnesota | Secondary | |
| Pediatrics | 147 | Minnesota | Secondary | |
| Occupational Medicine | 147 | Minnesota | Secondary | |
| Surgery | 147 | Minnesota | Secondary | |
| Urology | 147 | Minnesota | Secondary | |
| Hospitalist | 147 | Minnesota | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 147 | Other | Minnesota | State Prof. Registration |
| 1014268 | Other | Minnesota | Pref One Urgent Care # |
| AQ9091045486 | Other | Minnesota | Preferred One |
| 02071BR | Other | Minnesota | Bcbs Of Mn |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Columbia Park Medical Group, Pa 6401 University Ave Ne, Suite 200 Fridley, Minnesota |
| Zip: | 55432-4341 |
| Phone Number: | 763-572-5710 |
| Fax Number: | 763-571-3008 |
Patients can reach Columbia Park Medical Group, Pa at
6401 University Ave Ne, Suite 200, Fridley, Minnesota or can
call to book an appointment on 763-572-5710.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.