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

Total Healthcare and Physical Medicine PLLC

Organization General Practice Physician · NPI 1629373246

Total Healthcare and Physical Medicine PLLC is a General Practice Physician in Roseville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2151 Hamline Ave N Ste 111
Roseville, MN 55113-4236
Phone: (651) 636-5560
Fax: (651) 636-4406
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 30851 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 13954 (MN)

Record details

NPI number1629373246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Koula Vang — Office Manager · (651) 636-5560
NPI enumeratedJanuary 12, 2011
Last updated in NPPESFebruary 3, 2011
Mailing address2151 Hamline Ave N, Ste. 111, Roseville, MN 55113-4236