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

Physician Management Services of Minnesota, LLC

Organization Family Medicine Physician · NPI 1699413187

Physician Management Services of Minnesota, LLC is a Family Medicine Physician in Saint Cloud, Minnesota. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3290 42nd Ave S
Saint Cloud, MN 56301-6251
Phone: (888) 829-8550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4682 Wilderness Ct # 102, Brainerd, MN 56401-2834 — (888) 829-8550

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1699413187
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVaxcare Corporation
Authorized official Brett Kenefick — President · (888) 829-8550
NPI enumeratedMay 24, 2022
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address800 N Magnolia Ave Ste 700, Orlando, FL 32803-3264

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