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

Apple Valley Medical Clinic, Ltd

Organization Family Medicine Physician · NPI 1366754434

Apple Valley Medical Clinic, Ltd provides Family Medicine Physician services in Apple Valley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14655 Galaxie Ave
Apple Valley, MN 55124-8575
Phone: (952) 432-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 723 (MN)

Record details

NPI number1366754434
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationApple Valley Medical Clinic, Ltd
Authorized official Mark Pottenger — Administrator · (952) 953-9285
NPI enumeratedJuly 6, 2010
Last updated in NPPESJune 19, 2017
Mailing address14655 Galaxie Ave, Apple Valley, MN 55124-8575

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