East Metro Family Practice, P.a.

NPI 1013135508 - Family Medicine - 207Q00000X

NPI Details
NPI 1013135508
Enumeration Date 04/23/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PAUL PAUL
Position CEO
Phone (651) 777-7414
Fax (651) 748-5839
Practice Location
2601 CENTENNIAL DR
SUITE 100
SAINT PAUL MN, 55109-3041, US
Phone (651) 777-7414
Fax (651) 748-5839
Business Location
2025 SLOAN PL
SUITE 35
SAINT PAUL MN, 55117-2007, US
Phone (651) 772-2077
Fax (651) 772-1889
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 1417
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According to our database, East Metro Family Practice, P.a. NPI is 1013135508, taxonomy code is 207Q00000X and license number is 1417, license state is located at Minnesota. East Metro Family Practice, P.a. physically located at 2601 Centennial Dr, Saint Paul MN, 55109-3041. NPI Number 1033115704 has the healthcare provider type.

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1013135508 NPI number is provided on an as is basis without warranty of any kind. 1013135508 is maintained by the National Plan & Provider Enumeration System. The contents of East Metro Family Practice, P.a. are for informational purposes only.