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Organization

STUDENT HEALTH SERVICE UNIVERSITY OF ST. THOMAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MADONNA K MC DERMOTT MS, MPA (DIRECTOR STUDENT HEALTH SERVICE)
(651) 962-6750
Entity
Organization

Contact information

Practice address
2115 SUMMIT AVE, MAILBOX #5056, SAINT PAUL, MN 55105-1048
(651) 962-6750
(651) 962-6751
Mailing address
2115 SUMMIT AVE, MAILBOX #5056, SAINT PAUL, MN 55105-1048
(651) 962-6750
(651) 962-6751

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
MN32783
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1114057510
NPI KATE BOOTH, NP
MN
01
1184740664
NPI MADONNA MCDERMOTT
MN
01
1215999081
NPI DR. MARILEE VOTEL-KVA
MN
01
1225156227
NPI GAIL CONZEMIUS
MN
01
1669443222
NPI DR. THOMAS THUL
MN
Enumeration date
04/16/2007
Last updated
08/22/2020
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