CENTRAL MEDICAL CLINIC PLLC. NPI 1053704635

NPI Information

CENTRAL MEDICAL CLINIC, PLLC. is a medical physician assistant in Saint Paul, MN. CENTRAL MEDICAL CLINIC, PLLC. NPI is 1053704635. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

393 DUNLAP ST N
LL34
SAINT PAUL, MN
ZIP 55104-200
Phone: (651) 644-6002
Fax: (651) 647-1647

The provider's authorized official is Christine Morales .
The authorized official title is Clinic Director and has the following contact phone number (651) 644-6002.

The enumeration date for this NPI number is 3/6/2015 and was last updated on 3/6/2015.

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:

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