St Peter Street Internal Medicine | |
514 St Peter Street Suite 250 St Paul MN 55102 | |
(651) 645-9600 | |
(651) 645-9605 |
Full Name | St Peter Street Internal Medicine |
---|---|
Speciality | Internal Medicine |
Location | 514 St Peter Street, St Paul, Minnesota |
Authorized Official Name and Position | Elisabeth A Slattery (DOCTOR/OWNER) |
Authorized Official Contact | 6516459600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St Peter Street Internal Medicine 6200 Shingle Creek Pkwy Suite 300 Brooklyn Center MN 55430-2128 Ph: (763) 561-5986 | St Peter Street Internal Medicine 514 St Peter Street Suite 250 St Paul MN 55102 Ph: (651) 645-9600 |
NPI Number | 1174617146 |
---|---|
Provider Enumeration Date | 10/03/2006 |
Last Update Date | 07/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174617146 | NPI | - | NPPES |
10N38ST | Other | MN | BCBS |
0409583 | Other | MN | MEDICA |
DF1694 | Other | MN | RAILROAD MEDICARE |
938088400 | Medicaid | MN | |
948448000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 31392 (Minnesota) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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