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Organization
IMPACT PHYSICAL MEDICINE OF ST. PAUL
Active
Organization
IMPACT PHYSICAL MEDICINE OF ST. PAUL
Active
Other names
Impact Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
STAN BABEL (CEO)
(651) 592-9402
Entity
Organization
Contact information
Practice address
1600 UNIVERSITY AVE W STE 10, SAINT PAUL, MN 55104-3898
(651) 592-9402
(651) 641-0726
Mailing address
1600 UNIVERSITY AVE W STE 10, SAINT PAUL, MN 55104-3898
(651) 592-9402
(651) 641-0726
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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