Organization
ST. CROIX ORTHOPAEDICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELANIE SULLIVAN (CEO)
(651) 439-8807
Entity
Organization
Contact information
Practice address
5803 NEAL AVE N, OAK PARK HEIGHTS, MN 55082-2177
(651) 439-8807
(651) 439-0232
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
174400000X
Specialist
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32658100
—
WI
05
—
329210000
—
MN
Enumeration date
06/27/2005
Last updated
07/21/2022
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