Provider Demographics
NPI:1043351802
Name:MEDICAL ASSOCIATES OF MINNESOTA
Entity Type:Organization
Organization Name:MEDICAL ASSOCIATES OF MINNESOTA
Other - Org Name:ST PAUL INTERNISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEC
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNKEL
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:651-232-4311
Mailing Address - Street 1:17 EXCHANGE ST W
Mailing Address - Street 2:SUITE # 602
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-1045
Mailing Address - Country:US
Mailing Address - Phone:651-232-4311
Mailing Address - Fax:651-232-4325
Practice Address - Street 1:17 EXCHANGE ST W
Practice Address - Street 2:SUITE # 602
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1045
Practice Address - Country:US
Practice Address - Phone:651-232-4311
Practice Address - Fax:651-232-4325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty