| Entira Family Clinics-como/roseville | |
|
1050 Larpenteur Ave W Saint Paul MN 55113-6556 | |
| (651) 788-4444 | |
| (651) 487-1705 |
| Full Name | Entira Family Clinics-como/roseville |
|---|---|
| Speciality | Family Medicine |
| Location | 1050 Larpenteur Ave W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Kyle Nelson (CAO) |
| Authorized Official Contact | 6517721572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Entira Family Clinics-como/roseville 2025 Sloan Pl Ste 35 Saint Paul MN 55117-2092 Ph: (651) 772-1572 | Entira Family Clinics-como/roseville 1050 Larpenteur Ave W Saint Paul MN 55113-6556 Ph: (651) 788-4444 |
| NPI Number | 1629258355 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629258355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1428 (Minnesota) | Primary |
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