Unknown Individual – Vascular Surgery Physician, NPI 1598732687
Vascular Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
34th Avenue South, Bloomington, Hennepin County, Minnesota, 55425, United States
MAIL STOP 21110Q
BLOOMINGTON, MN 554251672
Phone: (952) 883-5463
Fax: (952) 883-5395
Type: Mailing
Regions Hospital, 640, Jackson Street, Saint Paul, Ramsey County, Minnesota, 55101, United States
MC 11503K
ST PAUL, MN 551022502
Phone: (651) 254-3462
Fax: (651) 254-1603
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 55425)
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