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

Intrepid of Minnesota, Inc

Organization Hospice and Palliative Medicine (Family Medicine) Physician · NPI 1710653977

Intrepid of Minnesota, Inc is a Hospice and Palliative Medicine (Family Medicine) Physician in Roseville, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2277 Highway 36 W Ste 316A
Roseville, MN 55113-3804
Phone: (651) 633-6404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X

Record details

NPI number1710653977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul McMullen — Coo · (214) 445-3750
Other names Intrepid Usa Palliative & Supportive Care
NPI enumeratedAugust 18, 2021
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021
Mailing address3220 Keller Springs Rd Ste 108, Carrollton, TX 75006-5911