Organization · Type 2 NPI

Healtheast Medical Research Institute

Family Medicine Physician · Roseville, MN

NPI number 1053620187 Active

Practice location

2680 Snelling Ave N, Suite 200
Roseville, MN 55113-1876

Call (651) 326-1800 Map

Mailing address

1700 University Ave W
St. Paul, MN 55104-3727

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8 other providers at this address

NPI record

NPI: 1053620187
Entity type: Organization (Type 2)
Issued: Oct 7, 2010
Last updated: Feb 14, 2025
Status: Active

Other names

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Healtheast Roseville Clinic · doing business as
Healtheast Roseville Clinic · doing business as

Authorized official

Maureen V Ring
Sys Dir Govt Reimb & Netwk Rel
(612) 672-6740

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053620187

Healtheast Medical Research Institute's National Provider Identifier is 1053620187, issued on Oct 7, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Roseville, MN. The record was last updated on Feb 14, 2025.