Provider Demographics
NPI:1366634024
Name:MIDPOINT MEDICAL CLINIC INC
Entity Type:Organization
Organization Name:MIDPOINT MEDICAL CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:MARANGA
Authorized Official - Last Name:KERANDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:763-566-2313
Mailing Address - Street 1:7240 BROOKLYN BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55429-1274
Mailing Address - Country:US
Mailing Address - Phone:763-566-2313
Mailing Address - Fax:
Practice Address - Street 1:7240 BROOKLYN BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55429-1274
Practice Address - Country:US
Practice Address - Phone:763-566-2313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center