| Student Health Service University Of St. Thomas | |
|
2115 Summit Ave Mailbox #5056 Saint Paul MN 55105-1048 | |
| (651) 962-6750 | |
| (651) 962-6751 |
| Full Name | Student Health Service University Of St. Thomas |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 2115 Summit Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Madonna K Mc Dermott (DIRECTOR STUDENT HEALTH SERVICE) |
| Authorized Official Contact | 6519626750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Student Health Service University Of St. Thomas 2115 Summit Ave Mailbox #5056 Saint Paul MN 55105-1048 Ph: (651) 962-6750 | Student Health Service University Of St. Thomas 2115 Summit Ave Mailbox #5056 Saint Paul MN 55105-1048 Ph: (651) 962-6750 |
| NPI Number | 1881819886 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881819886 | NPI | - | NPPES |
| 1184740664 | Other | MN | NPI MADONNA MCDERMOTT |
| 1669443222 | Other | MN | NPI DR. THOMAS THUL |
| 1215999081 | Other | MN | NPI DR. MARILEE VOTEL-KVA |
| 1225156227 | Other | MN | NPI GAIL CONZEMIUS |
| 1114057510 | Other | MN | NPI KATE BOOTH, NP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | MN32783 (Minnesota) | Primary |
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