Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

East Metro Family Practice, PA

Organization Family Medicine Physician · NPI 1104044692

East Metro Family Practice, PA is a Family Medicine Physician in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

911 Maryland Ave E
Saint Paul, MN 55106-2647
Phone: (651) 776-2719
Fax: (651) 771-3978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1417 (MN)

Record details

NPI number1104044692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Berrisford — Ceo · (651) 772-1572
Other names East Metro - Maryland
NPI enumeratedApril 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2025 Sloan Pl, Suite 35, Saint Paul, MN 55117-2007

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