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EAST METRO FAMILY PRACTICE P.A. NPI 1104044692


NPI Information

NPI: 1104044692
Provider Name: EAST METRO FAMILY PRACTICE, P.A.

Doing Business As: EAST METRO - MARYLAND

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
911 MARYLAND AVE E
SAINT PAUL, MN
ZIP 55106
Phone: (651) 776-2719
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EAST METRO FAMILY PRACTICE, P.A. is a family medicine in Saint Paul, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EAST METRO FAMILY PRACTICE, P.A. NPI is 1104044692. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Metro - Maryland.

The provider's business location address is:

911 MARYLAND AVE E
SAINT PAUL, MN
ZIP 55106-647
Phone: (651) 776-2719
Fax: (651) 771-3978

The provider's authorized official is Paul Berrisford .
The authorized official title is Ceo and has the following contact phone number (651) 772-1572.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine1417MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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