Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Intrepid of Minnesota, Inc

Organization Hospice and Palliative Medicine (Family Medicine) Physician · NPI 1710653977

Intrepid of Minnesota, Inc provides Hospice and Palliative Medicine (Family Medicine) Physician services in Roseville, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2277 Highway 36 W Ste 316A
Roseville, MN 55113-3804
Phone: (651) 633-6404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X

Record details

NPI number1710653977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul McMullen — Coo · (214) 445-3750
Other names Intrepid Usa Palliative & Supportive Care
NPI enumeratedAugust 18, 2021
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021
Mailing address3220 Keller Springs Rd Ste 108, Carrollton, TX 75006-5911