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45 10th Street West Saint Paul MN 55102-1004 | |
(651) 232-3000 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 45 10th Street West, Saint Paul, Minnesota |
Authorized Official Name and Position | Maureen Ring (DIRECTOR NETWORK RELATIONS AO) |
Authorized Official Contact | 6126726740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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45 10th Street West Saint Paul MN 55102-1004 Ph: (651) 232-3000 | 45 10th Street West Saint Paul MN 55102-1004 Ph: (651) 232-3000 |
NPI Number | 1417145517 |
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Provider Enumeration Date | 10/15/2007 |
Last Update Date | 10/26/2023 |
Identifier | Type | State | Issuer |
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1417145517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (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 |