Organization
FAMILY HEALTHSERVICES MINNESOTA, P.A.
Active
Other names
Entira Family Clinics-West St. Paul
Organization subpart
No
Provider details
NPI number
Authorized official
KEN PALATTAO (CAO)
(651) 772-1572
Entity
Organization
Contact information
Practice address
234 WENTWORTH AVE E, WEST ST PAUL, MN 55118-3525
(651) 788-4444
(651) 455-3354
Mailing address
2025 SLOAN PL STE 35, SAINT PAUL, MN 55117-2092
(651) 772-1572
(651) 772-1889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1428
MN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
11/09/2007
Last updated
10/14/2025
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