Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Anoka Area Family Medicine Clinic, PA

Organization Family Medicine Physician · NPI 1790709830

Anoka Area Family Medicine Clinic, PA provides Family Medicine Physician services in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3883 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2518
Phone: (763) 421-2273
Fax: (763) 421-2236
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 30144 (MN)

Record details

NPI number1790709830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Loes — Director · (763) 421-2273
NPI enumeratedJuly 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address14569 Waco St Nw, Ramsey, MN 55303-6181

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