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

Stillwater Medical Group

Organization Family Medicine Physician · NPI 1861742918

Stillwater Medical Group is a Family Medicine Physician in Saint Paul, Minnesota. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3

Practice location Address checks out

700 Wildwood Rd
Saint Paul, MN 55115-1852
Phone: (651) 439-1234
Fax: (651) 275-3325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1861742918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ross Bullard — Director Of Finance · (651) 439-1234
Other names Stillwater Medical Group Mahtomedi
NPI enumeratedSeptember 17, 2012
Last updated in NPPESJuly 29, 2013
Mailing address1500 Curve Crest Blvd, Stillwater, MN 55082-6040

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