Unknown Individual – Allergy & Immunology Physician, NPI 1386674422
Allergy & Immunology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1021, Bandana Boulevard East, Bandana Square, Saint Paul, Ramsey County, Minnesota, 55108, United States
SUITE 200
SAINT PAUL, MN 551085113
Phone: (651) 642-2700
Fax: (651) 642-9441
Type: Mailing
1020, Bandana Boulevard West, Bandana Square, Saint Paul, Ramsey County, Minnesota, 55108, United States
SAINT PAUL, MN 551085107
Phone: (651) 641-7000
Fax: (651) 641-7166
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55108)
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