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1700 University Ave W Saint Paul MN 55104-3727 | |
(612) 672-6740 | |
(612) 884-3592 |
Full Name | |
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Speciality | General Practice |
Location | 1700 University Ave W, Saint Paul, Minnesota |
Authorized Official Name and Position | Maureen Ring (SYS DIR GOVT REIMB & NETWK REL) |
Authorized Official Contact | 6126726740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1700 University Ave Ne Minneapolis MN 55413-1234 Ph: (612) 672-2258 | 1700 University Ave W Saint Paul MN 55104-3727 Ph: (612) 672-6740 |
NPI Number | 1346722675 |
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Provider Enumeration Date | 09/04/2018 |
Last Update Date | 01/29/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346722675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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 |