Healthsource of St Paul- Grand
Healthsource of St Paul- Grand provides Clinic/Center services in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.
- Licensed in
- MN
- In the registry since
- 2012
Practice location Address checks out
1053 Grand Ave Ste #114Saint Paul, MN 55105-3022 Not confirmed with CMS for 14 years — call before visiting
Phone: (651) 292-9247
Fax: (651) 292-9257
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence DC4257 (MN) |
|---|
Record details
| NPI number | 1154696813 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Drews — President · (651) 292-9247 |
| NPI enumerated | March 14, 2012 |
| Last updated in NPPES | March 30, 2012 |
| Mailing address | 1053 Grand Ave, Suite #114, Saint Paul, MN 55105-3022 |
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