Organization
ST. PAUL INFECTIOUS DISEASE ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN J. HALLORAN (CLINIC ADMINISTRATOR)
(651) 772-6254
Entity
Organization
Contact information
Practice address
1959 SLOAN PL STE 200, SAINT PAUL, MN 55117-2073
(651) 772-6235
(651) 772-6261
Mailing address
1959 SLOAN PL STE 200, SAINT PAUL, MN 55117-2073
(651) 772-6235
(651) 772-6261
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
676363400
—
MN
Enumeration date
01/11/2007
Last updated
04/20/2009
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