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

Total Healthcare and Physical Medicine PLLC

Organization General Practice Physician · NPI 1629373246

Total Healthcare and Physical Medicine PLLC provides General Practice Physician services in Roseville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2151 Hamline Ave N Ste 111
Roseville, MN 55113-4236 Not confirmed with CMS for 15 years — call before visiting
Phone: (651) 636-5560
Fax: (651) 636-4406
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 30851 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 13954 (MN)

Record details

NPI number1629373246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Koula Vang — Office Manager · (651) 636-5560
NPI enumeratedJanuary 12, 2011
Last updated in NPPESFebruary 3, 2011
Mailing address2151 Hamline Ave N, Ste. 111, Roseville, MN 55113-4236