| St. Peter Street Clinic | |
|
514 Saint Peter St 250 Saint Paul MN 55102-1001 | |
| (651) 645-9600 | |
| (651) 888-2944 |
| Full Name | St. Peter Street Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 514 Saint Peter St, Saint Paul, Minnesota |
| Authorized Official Name and Position | Elisabeth A. Slattery (OWNER/PRESIDENT) |
| Authorized Official Contact | 6516459600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Peter Street Clinic 514 Saint Peter St 250 Saint Paul MN 55102-1001 Ph: (651) 645-9600 | St. Peter Street Clinic 514 Saint Peter St 250 Saint Paul MN 55102-1001 Ph: (651) 645-9600 |
| NPI Number | 1396152211 |
|---|---|
| Provider Enumeration Date | 07/14/2014 |
| Last Update Date | 11/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396152211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 31392 (Minnesota) | Primary |
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