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Intrepid of Minnesota, Inc. — NPI 1710653977, Roseville, MN | NPI Central

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NPI 1710653977

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Intrepid of Minnesota, Inc.

NPI 1710653977 · Hospice and Palliative Medicine (Family Medicine) Physician · Roseville, MN

Provider details

NPI number: 1710653977
Entity type: Organization
Primary specialty: Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Paul Mcmullen, Coo(214) 445-3750

Specialties & taxonomies

Hospice and Palliative Medicine (Family Medicine) PhysicianPrimary207QH0002X
Allopathic & Osteopathic Physicians

Practice location

2277 Highway 36 W Ste 316a

Roseville, MN 55113-3804

Phone: (651) 633-6404

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

3220 Keller Springs Rd Ste 108

Carrollton, TX 75006-5911

Other names (DBA / former)

Doing business as: Intrepid USA Palliative & Supportive Care

Registry dates

Enumerated: 2021-08-18
Last updated: 2021-08-18
Certified: 2021-08-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.