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50 Cretin Ave S Saint Paul MN 55105-1042 | |
(952) 201-3420 | |
(651) 304-1700 |
Full Name | |
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Speciality | Clinic/Center |
Location | 50 Cretin Ave S, Saint Paul, Minnesota |
Authorized Official Name and Position | Danielle Trego Finden (OWNER) |
Authorized Official Contact | 9522013420 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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423 Fairview Ave S Saint Paul MN 55105-1707 Ph: (952) 201-3420 | 50 Cretin Ave S Saint Paul MN 55105-1042 Ph: (952) 201-3420 |
NPI Number | 1558512632 |
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Provider Enumeration Date | 10/07/2008 |
Last Update Date | 09/24/2009 |
Medicare PECOS PAC ID | 3274694013 |
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Medicare Enrollment ID | O20081211000356 |
Identifier | Type | State | Issuer |
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1558512632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 5115 (Minnesota) | Primary |
Provider Name | Danielle T Finden |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932371762 PECOS PAC ID: 3173695335 Enrollment ID: I20080702000542 |
Provider Name | Kristen A Moddrell |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1659606176 PECOS PAC ID: 8325174824 Enrollment ID: I20100408000378 |
Provider Name | Emily K Yenter |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1730574310 PECOS PAC ID: 2365762275 Enrollment ID: I20150515002164 |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |