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Organization
INTREPID OF MINNESOTA, INC.
Active
Organization
INTREPID OF MINNESOTA, INC.
Active
Other names
Intrepid USA Palliative & Supportive Care
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MCMULLEN (COO)
(214) 445-3750
Entity
Organization
Contact information
Practice address
2277 HIGHWAY 36 W STE 316A, ROSEVILLE, MN 55113-3804
(651) 633-6404
Mailing address
3220 KELLER SPRINGS RD STE 108, CARROLLTON, TX 75006-5911
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
NULL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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