Organization
ST. CROIX ORTHOPAEDICS, P.A.
Active
Parent organization
ST. CROIX ORTHOPAEDICS, P.A.
Other names
Orthotic Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. CROIX ORTHOPAEDICS, P.A.
Authorized official
AMY LINDSTROM (DIRECTOR OF ANCILLARY SERVICES)
(651) 351-2728
Entity
Organization
Contact information
Practice address
1715 TOWER DR. W SUITE 100, HEARTLAND CENTER, STILLWATER, MN 55082-7609
(651) 275-4180
(651) 275-2744
Mailing address
5803 NEAL AVE N, OAK PARK HEIGHTS, MN 55082-2177
(651) 439-8807
(651) 439-0232
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102957
UCARE
MN
05
—
41657800
—
WI
01
—
44582
HEALTHPARTNERS
MN
01
—
8G895BR
BLUE CROSS MN BLUE PLUS
MN
05
—
942298600
—
MN
01
—
9635801017818
PREFERRED ONE
MN
Enumeration date
02/16/2007
Last updated
07/06/2012
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