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

Dr. Edward Joseph McEllistrem

Individual provider Family Medicine Physician · NPI 1699350462

Dr. Edward Joseph McEllistrem is a Family Medicine Physician in West St Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

888 Christensen Ave
West St Paul, MN 55118-1633
Phone: (651) 457-1034
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 15877 (MN)

Record details

NPI number1699350462
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 13, 2021
Last updated in NPPESMarch 13, 2021
Certification dateMarch 13, 2021

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