Entira Family Clinics-north St. Paul | |
2601 Centennial Dr Ste 100 North St Paul MN 55109-3087 | |
(651) 788-4444 | |
(651) 748-5839 |
Full Name | Entira Family Clinics-north St. Paul |
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Speciality | Family Medicine |
Location | 2601 Centennial Dr Ste 100, North St 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 |
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Entira Family Clinics-north St. Paul 2025 Sloan Pl Ste 35 Saint Paul MN 55117-2092 Ph: (651) 772-1572 | Entira Family Clinics-north St. Paul 2601 Centennial Dr Ste 100 North St Paul MN 55109-3087 Ph: (651) 788-4444 |
NPI Number | 1083894711 |
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Provider Enumeration Date | 11/09/2007 |
Last Update Date | 10/26/2023 |
Identifier | Type | State | Issuer |
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1083894711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1428 (Minnesota) | Primary |