| St Anthony Park Clinic | |
|
2315 Como Ave Saint Paul MN 55108-1723 | |
| (651) 646-2549 | |
| (651) 646-2480 |
| Full Name | St Anthony Park Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2315 Como Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | David Lee Gilbertson (PRESIDENT) |
| Authorized Official Contact | 6516462549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Anthony Park Clinic 2315 Como Ave Saint Paul MN 55108-1723 Ph: (651) 646-2549 | St Anthony Park Clinic 2315 Como Ave Saint Paul MN 55108-1723 Ph: (651) 646-2549 |
| NPI Number | 1265547533 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265547533 | NPI | - | NPPES |
| 25Y48AN | Other | MN | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 6251520 (Minnesota) | Primary |
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