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STILLWATER MEDICAL GROUP MAHTOMEDI
NPI 1861742918
Family Medicine in Saint Paul, MN

Active since September 17, 2012
700 WILDWOOD RD, SAINT PAUL, MN 55115(651) 439-1234(651) 275-3325 Get Directions Write a Review

NPPES record last updated: July 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stillwater Medical Group Mahtomedi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STILLWATER MEDICAL GROUP MAHTOMEDI (NPI 1861742918) is a healthcare organization registered as a family medicine in Saint Paul, Minnesota and active in the NPI registry since September 2012. The organization lists Ross Bullard, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1861742918
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTILLWATER MEDICAL GROUP
Location Address700 WILDWOOD RDSaint Paul, MN 55115-1852
Mailing Address1500 Curve Crest BlvdStillwater, MN 55082-6040 · (651) 439-1234
Phone(651) 439-1234
Fax(651) 275-3325
Organization SubpartNo
Authorized OfficialRoss BullardDirector Of Finance · (651) 439-1234
Enumeration DateSeptember 17, 2012
Last NPPES UpdateJuly 29, 2013
✔ NPI 1861742918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPodiatristTaxonomy 213E00000X
700 WILDWOOD RD, Saint Paul, MN 55115
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Other Names 1

Doing Business AsStillwater Medical Group Mahtomedi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stillwater Medical Group's NPI number?

The NPI number for Stillwater Medical Group is 1861742918. It was assigned to this organization in the NPPES registry on September 17, 2012. The provider is doing business as Stillwater Medical Group Mahtomedi.

Where is Stillwater Medical Group located?

Stillwater Medical Group is located at 700 Wildwood Rd, Saint Paul, MN 55115. The listed phone number is (651) 439-1234.

What is Stillwater Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stillwater Medical Group was last updated on July 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.