| Adult Medicine Pa | |
|
393 Dunlap St N Ste 235 Saint Paul MN 55104-4208 | |
| (651) 644-7775 | |
| (651) 644-8884 |
| Full Name | Adult Medicine Pa |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 393 Dunlap St N Ste 235, Saint Paul, Minnesota |
| Authorized Official Name and Position | Kimberly A Anderson-uzpen (PRESIDENT) |
| Authorized Official Contact | 6516447775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Medicine Pa 393 Dunlap St N Ste 235 Saint Paul MN 55104-4208 Ph: (651) 644-7775 | Adult Medicine Pa 393 Dunlap St N Ste 235 Saint Paul MN 55104-4208 Ph: (651) 644-7775 |
| NPI Number | 1740403393 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740403393 | NPI | - | NPPES |
| 45Q68AN | Other | MN | BCBS |
| CH5440 | Other | MN | RR MEDICARE |
| 64544 | Other | MN | HEALTHPARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26646 (Minnesota) | Secondary |
| 133V00000X | Dietitian, Registered | N153 (Minnesota) | Primary |
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