NPI 1891058384

Proactive Healthcare

Organisation General Practice Physician Saint Paul, MN

Practice location

Address: 101 5th St E Suite 227, Saint Paul, MN 55101-1898
Phone: (651) 778-0080
Fax: (651) 778-0195

Authorised official

Name: Nathan Burdash
Title: C.E.O.
Phone: (651) 778-0080

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 41988 (MN)

Other General Practice providers in Minnesota →

Registry record

NPI: 1891058384
Entity type: Organization
NPI issued: 19 Jun 2012
Record last updated: 27 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.