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Specialty details in registry · Saint Paul, MN

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At a glance

166 4Th St E, Saint Paul, MN 55101-1421

NPPES record updated Nov 9, 2016. Public records can lag behind changes at a practice.

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  • 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

166 4Th St E Suite 200
Saint Paul, MN 55101-1421
Professional details: NPI, taxonomy & registry record
NPI1861934788
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251B00000X
Enumeration date
Nov 9, 2016
Record updated
Nov 9, 2016
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251B00000X · Primary

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

Practice location

166 4Th St E
Suite 200
Saint Paul, MN 55101-1421
Phone
(651) 389-4690
Fax
(651) 389-4691
Mailing address
166 4TH ST E
SUITE 200
SAINT PAUL, MN 551011421
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Information may be outdated or incomplete.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.

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