Healthsource Of St. Paul- Grand

Clinic / Center · Saint Paul, MN

Call (651) 292-9247 Directions

At a glance

1053 Grand Ave, Saint Paul, MN 55105-3022

NPPES record updated Mar 30, 2012. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1053 Grand Ave Suite #114
Saint Paul, MN 55105-3022
Professional details: NPI, taxonomy & registry record
NPI1154696813
Call Directions

Registry details

Primary taxonomy
Clinic / Center
Taxonomy code
261Q00000X
Enumeration date
Mar 14, 2012
Record updated
Mar 30, 2012
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinic / Center

261Q00000X · Primary

License reported: DC4257 MN

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1053 Grand Ave
Suite #114
Saint Paul, MN 55105-3022
Phone
(651) 292-9247
Fax
(651) 292-9257
Mailing address
1053 GRAND AVE
SUITE #114
SAINT PAUL, MN 551053022
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

Report a directory issue