| East Metro - Gorman Clinic | |
|
234 Wentworth Ave E West Saint Paul MN 55118-3525 | |
| (651) 455-2940 | |
| (651) 455-3354 |
| Full Name | East Metro - Gorman Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 234 Wentworth Ave E, West Saint Paul, Minnesota |
| Authorized Official Name and Position | Paul Berrisford (CEO) |
| Authorized Official Contact | 6517721572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Metro - Gorman Clinic 2025 Sloan Pl Suite 35 Saint Paul MN 55117-2007 Ph: (651) 772-2077 | East Metro - Gorman Clinic 234 Wentworth Ave E West Saint Paul MN 55118-3525 Ph: (651) 455-2940 |
| NPI Number | 1679791156 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679791156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1417 (Minnesota) | Primary |
Patient Centered Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 238 Wentworth Ave E, West Saint Paul, MN 55118 Phone: 651-338-8424 | |
Gerald D. Mcellistrem, M. D., P. A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 443 Haskell St E, West Saint Paul, MN 55118 Phone: 651-227-7051 |