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NPI Code Detail

MEDICARE: ST. CROIX ORTHOPAEDICS, P.A.

MEDICARE: ST. CROIX ORTHOPAEDICS, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
244582OTHERMNHEALTHPARTNERS
38G895BROTHERMNBLUE CROSS MN BLUE PLUS
49635801017818OTHERMNPREFERRED ONE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6102957OTHERMNUCARE

General Provider Information

NPI Number : 1205970894
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. CROIX ORTHOPAEDICS, P.A.
Provider Business Mailing Address
First Line : 5803 NEAL AVE N
Second Line :
City : OAK PARK HEIGHTS
State : MN
Zip : 55082-2177
Country : US
Telephone Number : 651-439-8807
Fax Number : 651-439-0232
Provider Business Practice Location Address
First Line : 1715 TOWER DR. W SUITE 100
Second Line : HEARTLAND CENTER
City : STILLWATER
State : MN
Zip : 55082-7609
Country : US
Telephone Number : 651-275-4180
Fax Number : 651-275-2744
Authorized Official
Title or Position : DIRECTOR OF ANCILLARY SERVICES
Name : AMY LINDSTROM
Credential :
Telephone Number : 651-351-2728
Provider Enumeration Date : 02/16/2007
Last Update Date : 07/06/2012

Similar Medicare Providers

1235913419 — JOHN F MOFFATT MA
Practice Location Address:
1715 TOWER DR W STE 100
STILLWATER, MN
55082-7609
Practice Phone: 651-390-5001
Practice Fax:
1114468246 — LAURA MCKEE WELP LICSW, LADC
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55082-7609
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Practice Fax: 651-390-5002
1073032397 — REBECCA RUTH BEDNAR
Practice Location Address:
1715 TOWER DR W STE 100
STILLWATER, MN
55082-7609
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Practice Fax:
1346704871 — PAUL L PALADIE MSW,LMSW, LICSW,LADC
Practice Location Address:
1715 TOWER DR W STE 100
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55082-7609
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1023661428 — BRIANNA LEE PANKRATZ APRN, CNP
Practice Location Address:
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55082-7609
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1902489339 — MS. NICOLE ANDERSON APRN, CNP
Practice Location Address:
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55082-7609
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Practice Fax:

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