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Organization

IMPACT PHYSICAL MEDICINE OF ST. PAUL

Active
Other names
Impact Physical Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
STAN BABEL (CEO)
(651) 592-9402
Entity
Organization

Contact information

Practice address
1600 UNIVERSITY AVE W STE 10, SAINT PAUL, MN 55104-3898
(651) 592-9402
(651) 641-0726
Mailing address
1600 UNIVERSITY AVE W STE 10, SAINT PAUL, MN 55104-3898
(651) 592-9402
(651) 641-0726

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
01/07/2020
Last updated
01/07/2020
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