| Capitol Neurology Pa | |
|
360 Sherman St Suite #350 Saint Paul MN 55102-2564 | |
| (651) 291-1559 | |
| (651) 291-0051 |
| Full Name | Capitol Neurology Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 360 Sherman St, Saint Paul, Minnesota |
| Authorized Official Name and Position | Jacklynn A Kwapick (OFFICE MANAGER) |
| Authorized Official Contact | 6512911559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Neurology Pa 360 Sherman St Suite #350 Saint Paul MN 55102-2564 Ph: (651) 291-1559 | Capitol Neurology Pa 360 Sherman St Suite #350 Saint Paul MN 55102-2564 Ph: (651) 291-1559 |
| NPI Number | 1083635171 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083635171 | NPI | - | NPPES |
| 617523600 | Medicaid | MN | |
| CK5233 | Other | MN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Minnesota) | Primary |
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