Organization Name: | ST. CROIX ORTHOPAEDICS, PA |
NPI Number: | 1255337945 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELANIE SULLIVAN (CEO) |
Mailing Address: | 5803 Neal Ave N Oak Park Heights |
State: | MN US |
Postal Code: | 550822177 |
Phone Number: | 6514398807 |
Fax Number: | 6514390232 |
NPI Enumeration Date: | 06/27/2005 |
NPI Last Update Date: | 10/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |