University Of Minnesota Physicians | |
1414 Maryland Ave E Phalen Village Clinic Saint Paul MN 55106 | |
(651) 772-3461 | |
Not Available |
Full Name | University Of Minnesota Physicians |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1414 Maryland Ave E, Saint Paul, Minnesota |
Authorized Official Name and Position | Mary A Johnson (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 6128840802 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
University Of Minnesota Physicians 6300 Shingle Creek Pkwy Ste 600 Brooklyn Center MN 55430-2124 Ph: (763) 782-6400 | University Of Minnesota Physicians 1414 Maryland Ave E Phalen Village Clinic Saint Paul MN 55106 Ph: (651) 772-3461 |
NPI Number | 1669519278 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 02/20/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669519278 | NPI | - | NPPES |
701372800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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