Organization
SUBURBAN EMERGENCY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL ROMAN MD (PRESIDENT)
(952) 403-3000
Entity
Organization
Contact information
Practice address
1455 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-3374
(952) 403-3000
Mailing address
PO BOX 46100, PLYMOUTH, MN 55446-0100
(763) 553-9920
(763) 553-9910
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
09/11/2025
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