Organization
EAST METRO FAMILY PRACTICE, P.A.
Active
Other names
East Metro - Highland Family
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BERRISFORD (CEO)
(651) 772-1572
Entity
Organization
Contact information
Practice address
1540 RANDOLPH AVE, SAINT PAUL, MN 55105-2535
(651) 699-8333
(651) 699-9257
Mailing address
2025 SLOAN PL, SUITE 35, SAINT PAUL, MN 55117-2007
(651) 772-2077
(651) 772-1889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1417
MN
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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