St. Paul Infectious Disease Associates, Ltd. | |
1959 Sloan Pl Ste 200 Saint Paul MN 55117-2073 | |
(651) 772-6235 | |
(651) 772-6261 |
Full Name | St. Paul Infectious Disease Associates, Ltd. |
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Speciality | Internal Medicine - Infectious Disease |
Location | 1959 Sloan Pl Ste 200, Saint Paul, Minnesota |
Authorized Official Name and Position | Marilyn J. Halloran (CLINIC ADMINISTRATOR) |
Authorized Official Contact | 6517726254 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. Paul Infectious Disease Associates, Ltd. 1959 Sloan Pl Ste 200 Saint Paul MN 55117-2073 Ph: (651) 772-6235 | St. Paul Infectious Disease Associates, Ltd. 1959 Sloan Pl Ste 200 Saint Paul MN 55117-2073 Ph: (651) 772-6235 |
NPI Number | 1306996335 |
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Provider Enumeration Date | 01/11/2007 |
Last Update Date | 04/20/2009 |
Identifier | Type | State | Issuer |
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1306996335 | NPI | - | NPPES |
676363400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (Minnesota) | 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 |