Stillwater Medical Group Mahtomedi

LBN: Stillwater Medical Group
Stillwater Medical Group Mahtomedi is an health care organization with primary practice located at 700 Wildwood Rd , Saint Paul MN 55115-1852. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Stillwater Medical Group can be contacted via phone (651) 439-1234, or through Bullard, Ross via phone (651) 439-1234.

Contact Information

Primary practice address
700 Wildwood Rd Saint Paul MN 55115-1852
Phone: (651) 439-1234
Fax: (651) 275-3325
Website:
Map and Directions
Authorized official contact:
Name: Bullard, Ross
Phone: (651) 439-1234

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1861742918
LBN Legal business name Stillwater Medical Group
DBA Doing business as Stillwater Medical Group Mahtomedi
Authorized official Bullard, Ross
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2012
Last updated Jul 29th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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