Organization · NPI-2

Aalfa Family Practice PA

Internal Medicine · White Bear Lake, MN

NPI number1437150877
StatusActive
Last updated in NPPESJul 9, 2026

Details

NPI
1437150877
Entity type
Organization (NPI-2)
Legal business name
Aalfa Family Practice PA
Organization subpart
No
Enumeration date
Aug 9, 2005
Certification date
Jul 9, 2026
Last updated
Jul 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine== =======MNYes
207Q00000X Family Medicine== =======MN

Other names

  • Aalfa Family Clinic (Doing Business As)

Practice location

4465 White Bear Pkwy
White Bear Lake, MN 55110-7626

Phone 651-653-0062 · Fax 651-653-0288

Mailing address

4465 White Bear Pkwy
White Bear Lake, MN 55110-7626

Phone 651-653-0062 · Fax 651-653-0288

Authorized official

Paul J Spencer
President
6516530062

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in White Bear Lake, MN