Unknown Individual – Family Medicine Physician, NPI 1841273471
Family Medicine Physician
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Provider Addresses for Unknown Individual
33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States
PO BOX 1309 MAIL STOP 21110Q
MINNEAPOLIS, MN 554254516
Phone:
Type: Mailing
15111, Twelve Oaks Center Drive, Minnetonka, Hennepin County, Minnesota, 55305, United States
MINNETONKA, MN 553055201
Phone: (952) 993-6450
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55425)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Family Practice | MN | |
| - | MN | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | MN | |
| Cardiac Electrophysiology | MN | |
| Family Practice | MN | |
| Physician Assistant | MN | |
| Physical Therapist In Private Practice | MN | |
| Physician Assistant | MN | |
| D E R M A T O L O G Y | MN |
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