| |
1814 N Saint Paul Rd Maplewood MN 55109-4700 | |
(651) 777-8393 | |
(651) 770-1375 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 1814 N Saint Paul Rd, Maplewood, Minnesota |
Authorized Official Name and Position | Keith A Oelschlager (MINNHEALTH PRESIDENT) |
Authorized Official Contact | 6517660520 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2025 Sloan Pl Suite 35 Saint Paul MN 55117-2007 Ph: (651) 772-2262 | 1814 N Saint Paul Rd Maplewood MN 55109-4700 Ph: (651) 777-8393 |
NPI Number | 1598982605 |
---|---|
Provider Enumeration Date | 04/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598982605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1124 (Minnesota) | Primary |
Polaris Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2053 Woodlynn Ave, Maplewood, MN 55109 Phone: 651-431-0047 | |
My Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1560 Beam Ave, Maplewood, MN 55109 Phone: 651-484-6923 |