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Apple Valley Medical Clinic, Ltd.

Family Medicine Physician in Apple Valley, MN · enumerated 2010 · authorized official Mark Pottenger, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366754434

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Registry record

Entity type Organization (Type 2)
Legal business name Apple Valley Medical Clinic, Ltd.
Parent organization Apple Valley Medical Clinic, Ltd.
Practice address 14655 Galaxie Ave, Apple Valley, MN, 55124
Enumeration date Jul 6, 2010
Last updated in NPPES Jun 19, 2017

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 723 (MN) Primary

Authorized official

Name Mark Pottenger
Title Administrator

Other identifiers

Identifier Type State Issuer
858098 Other - PREFERRED ONE
679251001 Other - MEDICARE
CE7163 Other - RAILROAD MEDICARE
55108 Other - HEALTHPARTNERS
22345AP Other - BLUEE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Apple Valley Medical Clinic, Ltd. located?
The practice location on file with NPPES is in Apple Valley, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-06-19. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-06-19.