| St. Paul Lung Clinic | |
|
225 Smith Ave N Suite 300 Saint Paul MN 55102-2533 | |
| (651) 726-6219 | |
| (651) 726-6201 |
| Full Name | St. Paul Lung Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 225 Smith Ave N, Saint Paul, Minnesota |
| Authorized Official Name and Position | Dennis Wipperling (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6517266219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Paul Lung Clinic 225 Smith Ave N Suite 300 Saint Paul MN 55102-2533 Ph: (651) 726-9219 | St. Paul Lung Clinic 225 Smith Ave N Suite 300 Saint Paul MN 55102-2533 Ph: (651) 726-6219 |
| NPI Number | 1376595033 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 06/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376595033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 822 (Minnesota) | Primary |
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