Organization
ST PAUL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PA FOUA JULIETTE YANG MD (VICE PRESIDENT)
(651) 327-3839
Entity
Organization
Contact information
Practice address
301 UNIVERSITY AVE W, SAINT PAUL, MN 55103-2048
(651) 327-3839
Mailing address
PO BOX 532, ROSEMOUNT, MN 55068-0532
(651) 327-3839
(651) 327-3839
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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