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MINNESOTA DOC
NPI 1932597002
Clinic/Center - Health Service in Saint Paul, MN

Active since December 24, 2014
1450 ENERGY PARK DR, SAINT PAUL, MN 55108(651) 361-7200(651) 642-0223 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Health Service

About MINNESOTA DOC

This page provides the complete NPI Profile along with additional information for Minnesota Doc, a provider established in Saint Paul, Minnesota operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1932597002 assigned on December 2014. The practitioner's primary taxonomy code is 261QH0100X with license number R172606-6 (MN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. David A Paulson Md (Medical Director)

NPI
1932597002 Verify this NPI
Provider Name
MINNESOTA DOC
Entity Type
Organization
Location Address
1450 ENERGY PARK DR SAINT PAUL, MN 55108
Location Phone
(651) 361-7200
Location Fax
(651) 642-0223
Mailing Address
1450 ENERGY PARK DR SAINT PAUL, MN 55108
Mailing Phone
(651) 361-7200
Mailing Fax
(651) 642-0223
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-24-2014
Last Update Date
03-31-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
R172606-6
License State
MN

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DAVID A PAULSON MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(612) 390-4747

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Frequently Asked Questions

What is MINNESOTA DOC's NPI number?

The NPI number assigned to this healthcare provider is 1932597002, enumerated as an "organization" on December 24, 2014.

Where is the provider located?

The provider is located at 1450 ENERGY PARK DR SAINT PAUL, MN 55108 and the phone number is (651) 361-7200.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.