awacke1/AllUSPhysiciansNPIbyStateandCountry huggingface dataset:
Provider:  DEBRA ANN RUSTAD  RN, CNP
Gender: F
Specialty taxonomy code: 363LG0600X
License: R092748-4 (MN)
Practice location: 3850 PARK NICOLLET BLVD PARK NICOLLET CLINIC--SENIOR SERVICES-- 3RD FLOOR, ST LOUIS PARK, MN 554162527
NPI enumeration date: 06/15/2005
Organization: ORTHOPEDIC ASSOCIATES OF DULUTH, P.A.
Also known as: ORTHOPAEDIC ASSOCIATES OF DULUTH, P.A.
Specialty taxonomy code: 174400000X
License: 101 (MN)
Practice location: 1000 E 1ST ST STE 404, DULUTH, MN 558052297
NPI enumeration date: 06/20/2005
Provider: DR. ARLYNE JEANE GUTMANN  PH.D., L.P.,B.C.B.A.
Gender: F
Specialty taxonomy code: 103TB0200X
License: LP0511 (MN)
Practice location: 7250 FRANCE AVE S STE 114, EDINA, MN 554354311
NPI enumeration date: 06/26/2005
Organization: PEDIATRIC & FAMILY PSYCHOLOGY CENTER PA
Also known as: CH MOORE PHD DBA PEDIATRIC & FAMILY PSYCHOLOGY CENTER PA
Specialty taxonomy code: 106H00000X
License: 1 (MN)
Practice location: 2440 N CHARLES STREET SUITE 236, NORTH SAINT PAUL, MN 551093050
NPI enumeration date: 07/28/2005
Provider:  MARY A SACHS  CPNP
Gender: F
Specialty taxonomy code: 363LP0200X
License: R121909-4 (MN)
Practice location: 347 SMITH AVE N CHILDRENS SPECIALTY LCINIC- ASTHMA EDUCATION STPL, SAINT PAUL, MN 551022387
NPI enumeration date: 08/02/2005
Provider:  LISA MAE RUPERT  MSN FNP
Gender: F
Specialty taxonomy code: 363L00000X
License: R165885-9 (MN)
Practice location: 8170 33RD AVE S MS 21110Q HEALTHPARTNERS FLOATING CLINIC C/O PHYSICIAN SERVICES, MINNEAPOLIS, MN 554401309
NPI enumeration date: 08/12/2005
Provider:  DAVID J ZALESKE  MD
Gender: M
Specialty taxonomy code: 207X00000X
License: 46645 (MN)
Practice location: 310 SMITH AVE N SUITE 120, CHILDRENS SPECIALTY CLINIC-ORTHOPAEDICS-STPL, SAINT PAUL, MN 551022393
NPI enumeration date: 08/16/2005
Organization: SIOUX VALLEY REGIONAL HEALTH SERVICES D.B.A HOSPICE OF SIOUX VALLEY LU
Also known as: HOSPICE OF SIOUX VALLEY LUVERNE HOSPITAL
Specialty taxonomy code: 251G00000X
License: 327237 (MN)
Practice location: 402 E MAIN ST , LUVERNE, MN 561561904
NPI enumeration date: 09/07/2005
Provider: MRS. RACHEL LESLEY BAKANOWSKI  APRN-BC
Gender: F
Specialty taxonomy code: 163W00000X
License: 208604-8 (MN)
Practice location: HENNEPIN HEALTHCARE EAST LAKE CLINIC 2700 EAST LAKE ST. #1100, MINNEAPOLIS, MN 55406
NPI enumeration date: 10/06/2005
Organization: REDEEMER RESIDENCE, INC.
Also known as: REDEEMER HEALTH AND REHAB CENTER - A MINISTRY OF ELIM CARE, INC.
Specialty taxonomy code: 314000000X
License: 327804 (MN)
Practice location: 625 W 31ST ST , MINNEAPOLIS, MN 554082922
NPI enumeration date: 10/07/2005
Organization: BACHMANN AND ASSOCIATES, INC. DBA COUNSELING CARE
Also known as: COUNSELING CARE
Specialty taxonomy code: 261QM0801X
License: 1025223-1-MHC (MN)
Practice location: 8669 EAGLE POINT BLVD , LAKE ELMO, MN 550428628
NPI enumeration date: 10/20/2005
Provider:  DEBRA J THILL  CPNP
Gender: F
Specialty taxonomy code: 363LP0200X
License: R-095701-4 (MN)
Practice location: 1900 CENTRA CARE CIR #1300 CENTRA CARE CLINIC WOMEN'S & CHILDREN'S, ST CLOUD, MN 563035000
NPI enumeration date: 10/28/2005
Provider:  EITAN  MEDINI  MD
Gender: M
Specialty taxonomy code: 2085R0001X
License: 21866 (MN)
Practice location: 1900 CENTRA CARE CIR #1600 CENTRA CARE CLINIC HEALTH PLAZA / RADIATION ONCOLOGY, ST CLOUD, MN 563035000
NPI enumeration date: 11/02/2005
Provider:  HANI SHABAN ALKHATIB  MB, BCH
Gender: M
Specialty taxonomy code: 207RH0003X
License: 34615 (MN)
Practice location: 1900 CENTRACARE CIR, #1600 CENTRACARE CLINIC HEALTH PLAZA SPECIALTY/ONCOLOGY, ST CLOUD, MN 56303
NPI enumeration date: 11/04/2005
Provider:  JANE MARIE SUSKA  APRN CNP
Gender: F
Specialty taxonomy code: 363LW0102X
License: R1172555 (MN)
Practice location: 1900 CENTRACARE CIRCLE #2300 CENTRACARE CLINIC HEALTH PLAZA OBSTETRICS AND WOMENS HE, ST CLOUD, MN 563035000
NPI enumeration date: 11/04/2005
Provider:  JONI COLLEEN ZEHM-STEFFENS  CNM
Gender: F
Specialty taxonomy code: 367A00000X
License: R 122687 0 (MN)
Practice location: 1900 CENTRACARE CIRCLE #2300 CENTRACARE CLINIC HEALTH PLAZA OBSTETRICS AND WOMEN'S H, ST CLOUD, MN 563035000
NPI enumeration date: 11/15/2005
Provider:  ROBIN RAE CAHILL-MYERS  ARNP
Gender: F
Specialty taxonomy code: 363LF0000X
License: AP30004765 (WA)
Practice location: 920 2ND AVE S STE 400 MINUTE CLINIC DIAGNOSITIC OF WA, LLC, MINNEAPOLIS, MN 554024010
NPI enumeration date: 11/22/2005
Provider:  GANGA SOMASHEKAR REDDY  M.D.
Gender: F
Specialty taxonomy code: 207R00000X
License: 47449 (MN)
Practice location: 5100 GAMBLE DR STE 100 - MAIL STOP 31200A HEALTHPARTNERS WEST CLINIC, ST. LOUIS PARK, MN 554161582
NPI enumeration date: 12/09/2005
Provider: MRS. NANCY LYNN RYDER  NURSE PRACTITIONER
Gender: F
Specialty taxonomy code: 363LF0000X
License: R118781-2 (MN)
Practice location: 2800 10TH AVE S STE 2200 HOSPITAL PATHOLOGY ASSOC, MINNEAPOLIS, MN 554071311
NPI enumeration date: 12/19/2005
Provider: DR. EDWARD WAI WONG  M.D.
Gender: M
Specialty taxonomy code: 2085R0202X
License: 42170 (CO)
Practice location: FLAT K, 34TH FLOOR, BLOCK 7 HARBOUR PLACE, HUNGHOM, KOWLOON, HONG KONG, NOT APPLICABLE NOT APPLICABLE
NPI enumeration date: 12/19/2005
Provider:  ROBERT DENNIS GLOWAC JR. BS
Gender: M
Specialty taxonomy code: 183500000X
License: 114835-6 (MN)
Practice location: MAYO CLINIC PHARMACY, 21 2ND ST SW BRACKENRIDGE LL ROOM BK-B10A, ROCHESTER, MN 559050001
NPI enumeration date: 12/22/2005
Provider:  DAVID C. LANGLEY  D.D.S.
Gender: M
Specialty taxonomy code: 1223G0001X
License: 9359 (MN)
Practice location: 1ST STREET & MINNESOTA HIGHWAY 60 LOWER LEVEL OF FIRST STATE BANK OF RED WING, MAZEPPA, MN 55956
NPI enumeration date: 12/28/2005
Organization: MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER, INC.
Also known as: MAYO CLINIC HEALTH SYSTEM LA CROSSE HOSPITAL PHARMACY
Specialty taxonomy code: 333600000X
License: 7639 (WI)
Practice location: 700 WEST AVENUE SOUTH , LACROSSE, WI 54601
NPI enumeration date: 01/05/2006
Organization: MAYO CLINIC HEALTH SYSTEM - FRANCISCAN MEDICAL CENTER, INC.
Also known as: MAYO CLINIC HEALTH SYSTEM ST FRANCIS PHARMACY
Specialty taxonomy code: 333600000X
License: 8471042 (WI)
Practice location: 700 WEST AVE S SUITE 101, LA CROSSE, WI 546014783
NPI enumeration date: 01/05/2006
Provider:  JONATHAN J. SUDBERRY  M.D.
Gender: M
Specialty taxonomy code: 2085R0202X
License: 48060 (MN)
Practice location: 6500 EXCELSIOR BLVD METHODIST HOSPITAL, 2ND FLOOR RADIOLOGY, ST LOUIS PARK, MN 554264702
NPI enumeration date: 01/13/2006
Provider:  KRISHNAKUMAR KUTTAKKATU BALAKRISHNA MENON  M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 43851 (MN)
Practice location: 800 EAST 28TH STREET INTERNAL MAIL ROUTE 11326, MINNEAPOLIS, MN 554073799
NPI enumeration date: 01/24/2006
Provider:  INEZ A BAKER-WESTBROCK  WHCNP
Gender: F
Specialty taxonomy code: 363LW0102X
License: R081312-9 (MN)
Practice location: 1965 FORD PKWY 1165 ARCADE ST ST. PAUL MN 55106, SAINT PAUL, MN 551161923
NPI enumeration date: 01/24/2006
Provider:  PAUL CHRISTOPHER TOMPACH  D.D.S., PH.D.
Gender: M
Specialty taxonomy code: 204E00000X
License: D11128 (MN)
Practice location: 515 DELAWARE STREET SE 7-174 MOOS HEALTH SCIENCES TOWER, MINNEAPOLIS, MN 55455
NPI enumeration date: 01/25/2006
Provider:  MICHAEL A TRANGLE  MD
Gender: M
Specialty taxonomy code: 2084P0800X
License: 28440 (MN)
Practice location: 5100 GAMBLE DR SUITE 100 - MAIL STOP 31200A HEALTHPARTNERS WEST CLINIC, ST. LOUIS PARK, MN 554161582
NPI enumeration date: 01/25/2006
Provider:  GERALD D. HAUTMAN  M.D.
Gender: M
Specialty taxonomy code: 207V00000X
License: 4301056360 (MI)
Practice location: 1430 HWY 96 E - MAIL STOP 32300A HEALTHPARTNERS WHITE BEAR LAKE CLINIC, WHITE BEAR LAKE, MN 551107693
NPI enumeration date: 01/25/2006
Organization: LORING FAMILY THERAPY SERICES INC
Also known as: LORING FAMILY CLINIC CLINIC FOR ATTENTION LEARNING AND MEMORY
Specialty taxonomy code: 103T00000X
License: LP1794 (MN)
Practice location: 430 OAK GROVE ST STE 414, MINNEAPOLIS, MN 554033242
NPI enumeration date: 01/26/2006
Provider:  JUDITH A KUCZENSKI  FNP
Gender: F
Specialty taxonomy code: 363L00000X
License: R1122275 (MN)
Practice location: 3930 NORTHWOODS DR - MAIL STOP 32800A HEALTH PARTNERS ARDEN HILLS CLINIC, ARDEN HILLS, MN 551126974
NPI enumeration date: 02/02/2006
Provider:  KAREN P TA  MD
Gender: F
Specialty taxonomy code: 2084P0800X
License: 35101 (MN)
Practice location: 1811 WEIR DRIVE SUITE 355 - MAIL STOP 13701A HEALTHPARTNERS REGIONS BEHAVIORAL HEALTH-WOODBURY, WOODBURY, MN 551252273
NPI enumeration date: 02/03/2006
Provider:  DIANE M DAHL  MD
Gender: F
Specialty taxonomy code: 2084P0800X
License: 24566 (MN)
Practice location: 2345 ARIEL ST N - MAIL STOP 13601A HEALTHPARTNERS REGIONS BEHAVIORAL HEALTH-MAPLEWOOD, MAPLEWOOD, MN 551092248
NPI enumeration date: 02/03/2006
Provider:  KATHELEEN  AVILA  M.A. LIC PSYCHOLOGIS
Gender: F
Specialty taxonomy code: 103T00000X
License: LP0449 (MN)
Practice location: 3608 44TH AVE S KAVILA@INTEGRATIVEMINDFULNESS.COM, MINNEAPOLIS, MN 554062906
NPI enumeration date: 02/15/2006
Provider:  ROBERT F GOBLIRSCH  MD
Gender: M
Specialty taxonomy code: 207Q00000X
License: 22684 (MN)
Practice location: 5100 GAMBLE DR SUITE 100 - MAIL STOP 31200A HEALTHPARTNERS WEST CLINIC, ST. LOUIS PARK, MN 554161582
NPI enumeration date: 02/17/2006
Provider:  JOCELYN  BESSETTE GORLIN  CPNP
Gender: F
Specialty taxonomy code: 363LP0200X
License: R1449660 (MN)
Practice location: 2525 CHICAGO AVE S CHILDRENS SPECIALTY CLINIC HEMATOLOGY ONCOLOGY MPLS, MINNEAPOLIS, MN 55404
NPI enumeration date: 02/22/2006
Provider:  NASRIN H SANEI  CNM
Gender: F
Specialty taxonomy code: 367A00000X
License: 1294459 (MN)
Practice location: 1430 HWY 96 E - MAIL STOP 32300A HEALTHPARTNERS WHITE BEAR LAKE CLINIC, WHITE BEAR LAKE, MN 551107693
NPI enumeration date: 02/22/2006
Provider:  BRYAN A NELSON  M.D.
Gender: M
Specialty taxonomy code: 207Q00000X
License: 43744 (MN)
Practice location: 11475 ROBINSON DRIVE NW-MAILSTOP 32600A HEALTHPARTNERS COON RAPIDS CLINIC, COON RAPIDS, MN 554333746
NPI enumeration date: 02/23/2006
Provider: MR. RON D. FISCHER  PT/ATC
Gender: M
Specialty taxonomy code: 225100000X
License: 4505 (MN)
Practice location: 23168 SAINT FRANCIS BLVD NW SUITE 300 ST. FRANCIS NOVACARE REHABILIATION, ST FRANCIS, MN 550709805
NPI enumeration date: 02/28/2006
Provider:  MARYELLEN T SMITH  CPNP
Gender: F
Specialty taxonomy code: 363L00000X
License: 0735016 (MN)
Practice location: 1900 CENTRACARE CIR #1300 CENTRACARE CLINIC - WOMEN'S AND CHILDRENS, ST CLOUD, MN 563035000
NPI enumeration date: 02/28/2006
Provider:  CHI-CHI NWASINACHUKWU PHINA AYIKA  MBBS
Gender: F
Specialty taxonomy code: 207V00000X
License: 46515 (MN)
Practice location: 530 3RD ST NW MAIL STOP 39400A, ELK RIVER, MN 553301445
NPI enumeration date: 03/01/2006
Provider:  JAMIE LYN MILLER REINSCHMIDT  MD
Gender: F
Specialty taxonomy code: 207Q00000X
License: 38027 (MN)
Practice location: 2831 N SNELLING AVE - MAIL STOP 39601A NORTH SURBURBAN FAMILY PHYSICIANS - ROSEVILLE, ROSEVILLE, MN 551132460
NPI enumeration date: 03/01/2006
Provider:  RENEE B COMPO  WHNP
Gender: F
Specialty taxonomy code: 363L00000X
License: 0635226 (MN)
Practice location: 5100 GAMBLE DR SUITE 100 MAIL STOP 31200A HEALTH PARTNERS WEST CLINIC, ST. LOUIS PARK, MN 554161582
NPI enumeration date: 03/03/2006
Provider: MS. CYNTHIA R ROBERTSON  C.N.P.
Gender: F
Specialty taxonomy code: 363LF0000X
License: MNR1154560 (MN)
Practice location: 1900 CENTRACARE CIRCLE CENTRACARE CLINIC - HEALTH PLAZA SPECIALTIES, ST CLOUD, MN 563035000
NPI enumeration date: 03/03/2006
Provider:  SHEHBANA  MAHMOOD  M.D.
Gender: F
Specialty taxonomy code: 207Q00000X
License: 43716 (MN)
Practice location: 205 S WABASHA ST MAIL STOP 31300A - HEALTHPARTNERS ST. PAUL CLINIC, ST.PAUL, MN 551071805
NPI enumeration date: 03/14/2006
Provider:  MICHAEL FUKASAWA SCHMITZ  PSYD, LP
Gender: M
Specialty taxonomy code: 103T00000X
License: LP1448 (MN)
Practice location: 800 E 28TH ST WASIE BUILDING, 6TH FLOOR, MR 15600, MINNEAPOLIS, MN 554073723
NPI enumeration date: 03/24/2006
Provider:  STACEY L KO  PA-C
Gender: F
Specialty taxonomy code: 363A00000X
License: 9655 (MN)
Practice location: 7500 80TH ST S, SUITE 100 - MS 34624A HEALTHPARTNERS COTTAGE GROVE CLINIC, COTTAGE GROVE, MN 550163008
NPI enumeration date: 03/31/2006
Provider:  ELSA N KEELER  MD
Gender: F
Specialty taxonomy code: 208000000X
License: 34028 (MN)
Practice location: 1430 HWY 96 E HEALTHPARTNERS WHINE BEAR LAKE CLINIC-MAIL STOP 32300A, WHITE BEAR LAKE, MN 551107693
NPI enumeration date: 04/13/2006
Provider: MR. RICKY YUK KIU CHAN  PA-C
Gender: M
Specialty taxonomy code: 363A00000X
License: 9989 (MN)
Practice location: 420 DELAWARE ST SE CTR FOR BLD AND CLOT DISORDERS, SUITE B-549, MMC 713, MINNEAPOLIS, MN 554550341
NPI enumeration date: 04/18/2006
Organization: MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER, INC.
Also known as: MAYO CLINIC HEALTH SYSTEM FRANCISCAN HEALTHCARE - PRAIRIE DU CHIEN
Specialty taxonomy code: 332B00000X
Practice location: 800 EAST BLACKHAWK AVENUE , PRAIRIE DU CHIEN, WI 53821
NPI enumeration date: 05/12/2006
Organization: PREMIER HEALTHCARE MANAGEMENT OF LONG PRAIRIE LLC
Also known as: LONG PRAIRIE HEALTH CARE CENTER
Specialty taxonomy code: 314000000X
License: 331051 (MN)
Practice location: 20 SE NINTH STREET CENTRA CARE HEALTH SYSTEM- LONG PRAIRE, LONG PRAIRIE, MN 563471404
NPI enumeration date: 05/15/2006
Provider: DR. MASOOD RAHEEM GHAZALI  M.B., B.S.
Gender: M
Specialty taxonomy code: 2084N0400X
License: 32599 (IA)
Practice location: 3833 COON RAPIDS BLVD NW SUITE 100, COON RAPIDS, MN 554332697
NPI enumeration date: 05/20/2006
Provider:  CASSANDRA IRENE VAJDA  CPNP
Gender: F
Specialty taxonomy code: 363LP0200X
License: R154213 (MN)
Practice location: 1900 CENTRA CARE CIR #2300 CENTRACARE CLINIC - WOMEN'S & CHILDRENS, ST CLOUD, MN 563035000
NPI enumeration date: 05/22/2006
Provider: MS. GWEN MARIE VERCHOTA  FNP
Gender: F
Specialty taxonomy code: 363LF0000X
License: MN30423 (MN)
Practice location: 1500 BIRCHMONT DR. NE BEMIDJI STATE UNIVERSITY, STUDENT CENTER FOR HEALTH, BEMIDJI, MN 566012699
NPI enumeration date: 05/23/2006
Provider:  CYNTHIA JEAN BETZLER  RN, CPNP
Gender: F
Specialty taxonomy code: 363LP0200X
License: R1270949 (MN)
Practice location: 1900 CENTRACARE CIR CENTRACARE CLINIC WOMENS & CHILDRENS, SAINT CLOUD, MN 563035000
NPI enumeration date: 06/02/2006
Provider: MS. JANICE LYNN DAHNKE  M.S.W., L.I.C.S.W
Gender: F
Specialty taxonomy code: 1041C0700X
License: 10133 (MN)
Practice location: 5009 EXCELSIOR BLVD SUITE 110, ST LOUIS PARK, MN 554163041
NPI enumeration date: 06/04/2006
Provider:  JAMES S MALLERY  MD
Gender: M
Specialty taxonomy code: 207RG0100X
License: 36617 (MN)
Practice location: 6500 EXCELSIOR BLVD SUITE 4-820 DIGESTIVE AND ENDOSCOPY CENTER METHODIST HOSPITAL, ST LOUIS PARK, MN 55426
NPI enumeration date: 06/08/2006
Provider: MS. TRISHA JANE BJORNEBY  FNP
Gender: F
Specialty taxonomy code: 363LF0000X
License: R-178924-9 (MN)
Practice location: 3850 PARK NICOLLET BLVD PARK NICOLLET CLINIC ST LOUIS PARK, ST LOUIS PARK, MN 554162527
NPI enumeration date: 06/08/2006
Provider: MR. STEPHEN EDWARD BARRON  MD
Gender: M
Specialty taxonomy code: 207X00000X
License: 20543 (MN)
Practice location: 6490 EXCELSIOR BOULEVARD MINNESOTA ORTHOPEDICS PA STE W417 MEADOWBROOK MED BLDG, ST LOUIS PARK, MN 554264705
NPI enumeration date: 06/09/2006
Organization: HY-VEE INC
Also known as: HY-VEE CLINIC PHARMACY (1475)
Specialty taxonomy code: 332B00000X
License: 2005026320 (MO)
Practice location: 5816 OSAGE BEACH PKWY SUITE 104, OSAGE BEACH, MO 650653046
NPI enumeration date: 06/09/2006
Organization: CHIROPRACTIC SPORT & SPINAL REHAB PA
Also known as: NORTHERN CHIROPRACTIC PAIN RELIEF & INJURY CLINIC
Specialty taxonomy code: 111N00000X
License: 3705 (MN)
Practice location: 201 LAKE ST NW SUITE G, WARROAD, MN 567632116
NPI enumeration date: 06/11/2006
Provider: DR. INDU  AGARWAL  M.B., B.S.
Gender: F
Specialty taxonomy code: 208000000X
License: 31697 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/15/2006
Provider: DR. PABLO URETA AVENDANO  M.D.
Gender: M
Specialty taxonomy code: 208000000X
License: 36869 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/16/2006
Provider:  NICOLE ANNE BEMMELS CARLSON  M.S.P.A.
Gender: F
Specialty taxonomy code: 363A00000X
License: 9899 (MN)
Practice location: 6500 EXCELSIOR PARK NICOLLET HEART AND VASCULAR CENTER, ST. LUOIS PARK, MN 55426
NPI enumeration date: 06/16/2006
Provider: DR. HENRY  BALFOUR JR. M.D.
Gender: M
Specialty taxonomy code: 208000000X
License: 19585 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 420 DELAWARE STREET SE, ROOM 760 MAYO MEMORIAL BUILDING, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/16/2006
Provider: DR. DEANNA  BASS  M.D.
Gender: F
Specialty taxonomy code: 2084P0800X
License: 33479 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST, MINNEAPOLIS, MN 55454
NPI enumeration date: 06/16/2006
Provider: DR. MUKTA  ARORA  M.B., B.S.
Gender: F
Specialty taxonomy code: 207R00000X
License: 44897 (MN)
Practice location: 516 DELAWARE STREET SE UNIV. OF MN PHYSICIANS, PWB FIFTH FLOOR, CLINIC 5B, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/16/2006
Provider: DR. ROBERT JAMES BACHE  M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 18286 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB THIRD FLOOR, CLINIC 3B, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/16/2006
Provider: DR. JILL SHAREEN ANDERSON  M.D.
Gender: F
Specialty taxonomy code: 207W00000X
License: 46327 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB NINTH FLOOR, CLINIC 9A, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/16/2006
Provider: DR. IOANNA  APOSTOLIDOU  M.D.
Gender: F
Specialty taxonomy code: 207L00000X
License: 48094 (MN)
Practice location: 420 DELAWARE STREET UNIV. OF MN PHYSICIANS B-515 MAYO MEMORIAL BUILDING, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/16/2006
Provider: DR. PETER ALEXANDER ARGENTA  M.D.
Gender: M
Specialty taxonomy code: 207V00000X
License: 44507 (MN)
Practice location: 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1C UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/16/2006
Provider: DR. GARRETT  BAYRD  M.D.
Gender: M
Specialty taxonomy code: 207N00000X
License: 24045 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIFTH FLOOR, CLINIC 5A, MINNNEAPOLIS, MN 55455
NPI enumeration date: 06/16/2006
Provider: DR. JOHN PETER BANTLE  M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 21141 (MN)
Practice location: 516 DELAWARE STREET UNIV. OF MN PHYISICIANS, PWB SIXTH FLOOR, CLINIC 6A, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/19/2006
Provider: DR. KIMBERLY ANN BOHJANEN  M.D.
Gender: F
Specialty taxonomy code: 207N00000X
License: 42817 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIFTH FLOOR, CLINIC 5A, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/22/2006
Provider: DR. JOANNE LAURETTE BILLINGS  M.D.
Gender: F
Specialty taxonomy code: 207R00000X
License: 36875 (MN)
Practice location: 516 DELAWARE STREET SE UNIVERSITY OF MINNESOTA PH, PWB SECOND FLOOR, CLINIC 2A, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/22/2006
Provider: DR. MICHAEL LEONARD BLOOMQUIST  PHD, LP
Gender: M
Specialty taxonomy code: 103TC0700X
License: LP 1196 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST, MINNEAPOLIS, MN 55454
NPI enumeration date: 06/22/2006
Provider: DR. PAUL ROBERT BOHJANEN  M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 42818 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB SIXTH FLOOR, CLINIC 6B, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/22/2006
Provider: DR. MANEESH  BHARGAVA  M.B., B.S.
Gender: M
Specialty taxonomy code: 207R00000X
License: 44918 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/22/2006
Provider:  ANNE LOUISE BOISCLAIR-FAHEY  N.P.
Gender: F
Specialty taxonomy code: 363L00000X
License: R 083633-9 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1E, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/22/2006
Provider:  ALEXANDRIA DENISE BLACKMON  N.P.
Gender: F
Specialty taxonomy code: 363L00000X
License: R 146110-1 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1E, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/22/2006
Provider: DR. PETER BRUCE BITTERMAN  M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 29523 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/22/2006
Provider: DR. SUSAN AMELIA BERRY  M.D.
Gender: F
Specialty taxonomy code: 207SG0201X
License: 26368 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/22/2006
Provider: DR. DORIS CAROL ANDERSON BROOKER  M.D.
Gender: F
Specialty taxonomy code: 207V00000X
License: 20423 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1C, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/23/2006
Provider: DR. GALEN NATLEY BRENINGSTALL  M.D.
Gender: M
Specialty taxonomy code: 208000000X
License: 25830 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/23/2006
Provider: DR. CLAUDIO GARCIA BRUNSTEIN  M.D., PHD
Gender: M
Specialty taxonomy code: 207R00000X
License: 44651 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIFTH FLOOR, CLINIC 5B, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/23/2006
Provider: DR. KHALAFALLA  BUSHARA  M.B., B.S.
Gender: M
Specialty taxonomy code: 2084N0400X
License: 44165 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1A, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/23/2006
Provider: DR. HENRY  BUCHWALD  M.D., PHD
Gender: M
Specialty taxonomy code: 208600000X
License: 15522 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1E, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/23/2006
Provider: DR. ELIZABETH ANN BRAUNLIN  M.D.
Gender: F
Specialty taxonomy code: 208000000X
License: 24249 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOUTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/23/2006
Provider: DR. CATHERINE MARIE BENDEL  M.D.
Gender: F
Specialty taxonomy code: 208000000X
License: 31437 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/23/2006
Provider: DR. BRADLEY JOHN BENSON  M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 40445 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB THIRD FLOOR, CLINIC 3A, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/23/2006
Provider: DR. LYNN  BURMEISTER  M.D.
Gender: F
Specialty taxonomy code: 207R00000X
License: 31900 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB SIXTH FLOOR, CLINIC 6A, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/23/2006
Provider: DR. ROBERT ALLAN NADEAU  D.D.S., M.D.
Gender: M
Specialty taxonomy code: 1223S0112X
License: 2006015187 (MO)
Practice location: 515 DELAWARE ST. SE 7-174D MALCOLM MOOS TOWER, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/23/2006
Provider: DR. RICHARD DALE BRUNNING  M.D.
Gender: M
Specialty taxonomy code: 207ZP0102X
License: 16381 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 420 DELAWARE STREET SE, ROOM 760 MAYO MEMORIAL BUILDING, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/26/2006
Provider: DR. BLANCHE MARIE CHAVERS  M.D.
Gender: F
Specialty taxonomy code: 208000000X
License: 24564 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/26/2006
Provider: DR. PI-NIAN  CHANG  PHD, LP
Gender: M
Specialty taxonomy code: 103T00000X
License: LP2634 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/26/2006
Provider: DR. MARIE-CLAIRE  BUCKLEY  M.D.
Gender: F
Specialty taxonomy code: 208600000X
License: 41151 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1E, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/26/2006
Provider: DR. GLADWIN SUSEEKAR DAS  M.B., B.S.
Gender: M
Specialty taxonomy code: 207R00000X
License: 35192 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB THIRD FLOOR, CLINIC 3B, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/27/2006
Provider: DR. NAMARTA AWASTHI CHANDRA  M.D.
Gender: F
Specialty taxonomy code: 2085B0100X
License: 41453 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1D, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/27/2006
Provider:  MARY LOIS CHESNEY  N.P.
Gender: F
Specialty taxonomy code: 363L00000X
License: R 079043-3 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/27/2006
Organization: HY-VEE INC
Also known as: HY-VEE PHARMACY (1080)
Specialty taxonomy code: 332B00000X
License: 361 (IA)
Practice location: HWY 6 WEST 2000 8TH ST. LANTERN PARK PLAZA, CORALVILLE, IA 52241
NPI enumeration date: 06/27/2006
Provider: DR. ADINA MIHAELA CIOC  M.D.
Gender: F
Specialty taxonomy code: 207ZP0102X
License: 46955 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 420 DELAWARE STREET SE, 760 MAYO MEMORIAL BUILDING, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/27/2006
Provider: DR. JAY NORMAN COHN  M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 21740 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB THIRD FLOOR, CLINIC 3B, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/28/2006
Provider:  SUSAN MCALOON DECKER  P.A.
Gender: F
Specialty taxonomy code: 363A00000X
License: 9223 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIFTH FLOOR, CLINIC 5B, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/29/2006
Provider: DR. SUSAN JOANNE DIEM  M.D.
Gender: F
Specialty taxonomy code: 207R00000X
License: 39957 (MN)
Practice location: 516 DELAWARE STREET SE, PWB THIRD FLOOR CLINIC 3A UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/29/2006
Provider: DR. BARBARA SUE DANIELS  M.D.
Gender: F
Specialty taxonomy code: 207R00000X
License: 26933 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/29/2006
Provider: DR. CATHERINE LEHUA CHUN  M.D.
Gender: F
Specialty taxonomy code: 208000000X
License: 40383 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1A, MINNEAPOLIS, MN 55455
NPI enumeration date: 06/29/2006
Provider:  PENNY I LANGLAND  MD
Gender: F
Specialty taxonomy code: 207Q00000X
License: 26271 (MN)
Practice location: 2635 UNIVERSITY AVE SUITE 160 - MAIL STOP 36101A HEALTHPARTNERS REGIONS HEALTH CENTER FOR WOMEN, ST. PAUL, MN 551141271
NPI enumeration date: 06/30/2006
Provider: DR. JOHN EDWARD FOKER  M.D., PHD
Gender: M
Specialty taxonomy code: 208600000X
License: 19466 (MN)
Practice location: 516 DELAWARE ST SE UNIV. OF MN PHYSICIANS, PWB THIRD FLOOR, CLINIC 3B, MINNEAPOLIS, MN 554550356
NPI enumeration date: 07/01/2006
Provider:  ANNETTE  FRIEDHEIM  N.P.
Gender: F
Specialty taxonomy code: 363L00000X
License: R 133241-8 (MN)
Practice location: 516 DELAWARE ST SE UNIV.OF MN PHYSICIANS, PWB FIFTH FLOOR, CLINIC 5B, MINNEAPOLIS, MN 554550356
NPI enumeration date: 07/01/2006
Provider: DR. JERRY WALTER FROELICH  M.D.
Gender: M
Specialty taxonomy code: 207U00000X
License: 44437 (MN)
Practice location: 516 DELAWARE ST SE UNIV.OF MN PHYSICIANS, PWB FIRST FLOOR, CLINIC 1D, MINNEAPOLIS, MN 554550356
NPI enumeration date: 07/01/2006
Provider: DR. SEYYED HOSSEIN FATEMI  M.D., PHD
Gender: M
Specialty taxonomy code: 2084P0800X
License: 39034 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST, MINNEAPOLIS, MN 55454
NPI enumeration date: 07/01/2006
Provider: DR. EDUARDO TAVORA FERNANDES  M.D.
Gender: M
Specialty taxonomy code: 208800000X
License: 36795 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1E, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/01/2006
Provider: DR. MIGUEL  FIOL  M.D.
Gender: M
Specialty taxonomy code: 2084N0400X
License: 21033 (MN)
Practice location: 516 DELAWARE ST SE UNIV. OF MN PHYSICIANS PWB 1ST FLOOR, CLINIC 1A, MINNEAPOLIS, MN 554550356
NPI enumeration date: 07/01/2006
Provider: DR. SARAH ANNUNCIATA MAZIG  M.D.
Gender: F
Specialty taxonomy code: 207R00000X
License: 44765 (MN)
Practice location: 2635 UNIVERSITY AVE SUITE 160 - MAIL STOP 36101A HEALTHPARTNERS REGIONS HEALTH CENTER FOR WOMEN, ST. PAUL, MN 551141271
NPI enumeration date: 07/02/2006
Provider:  DARLENE  MERCHANT  M.A., L.P.
Gender: F
Specialty taxonomy code: 103T00000X
License: LP0833 (MN)
Practice location: 15815 FRANKLIN TRAIL S.E. SUITE 308 DARLENE MERCHANT, M.A., L.P., PRIOR LAKE, MN 55372
NPI enumeration date: 07/03/2006
Provider: DR. CHARLES ALBERT DIETZ JR. M.D.
Gender: M
Specialty taxonomy code: 2085R0202X
License: 32379 (MN)
Practice location: 516 DELAWARE STREET SE PWB 1ST FL CINIC 1D UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/05/2006
Provider: DR. JORDAN MATTHEW DUNITZ  M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 36079 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/05/2006
Provider: DR. RAHEL  GHEBRE  M.D.
Gender: F
Specialty taxonomy code: 207V00000X
License: 42884 (MN)
Practice location: 516 DELAWARE ST SE UNIVERSITY OF MINNESOTA PH, PWB FIRST FLOOR, CLINIC 1C, MINNEAPOLIS, MN 554550356
NPI enumeration date: 07/06/2006
Provider: DR. KAZIMIERA JANINA GAJL-PECZALSKA  M.D.
Gender: F
Specialty taxonomy code: 207ZP0105X
License: 20079 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 420 DELAWARE STREET SE, 760 MAYO MEMORIAL BUILDING, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/06/2006
Provider: DR. MARY  FREITAG  PSYD, LP
Gender: F
Specialty taxonomy code: 103T00000X
License: LP4319 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST, MINNEAPOLIS, MN 55454
NPI enumeration date: 07/06/2006
Provider: DR. CHERYL ANN GALE  M.D.
Gender: F
Specialty taxonomy code: 208000000X
License: 35921 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/06/2006
Provider: DR. SIXTO  GUIANG III M.D.
Gender: M
Specialty taxonomy code: 208000000X
License: 33770 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/07/2006
Provider: DR. HAMIDE EVIN GULBAHCE  M.D.
Gender: F
Specialty taxonomy code: 207ZP0102X
License: 40708 (MN)
Practice location: 420 DELAWARE ST SE UNIVERSITY OF MINNESOTA PHY, 760 MAYO MEMORIAL BUILDING, MINNEAPOLIS, MN 554550341
NPI enumeration date: 07/07/2006
Provider: DR. ARIF  SOMANI  M.D.
Gender: M
Specialty taxonomy code: 208000000X
License: 44396 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/07/2006
Provider: DR. WARREN  REGELMANN  M.D.
Gender: M
Specialty taxonomy code: 208000000X
License: 21282 (MN)
Practice location: 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100 UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/08/2006
Provider: DR. BERNHARD JOSEF HERING  M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 40469 (MN)
Practice location: 516 DELAWARE STREET SE PWB FIRST FLOOR, CLINIC 1E, UNIV. OF MINN. PHYSICIANS, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/09/2006
Organization: MKMD NEUROSURGERY, PLLC
Also known as: KIM NEUROSURGERY, PLLC
Specialty taxonomy code: 207T00000X
License: 1628446-2 (MN)
Practice location: 9325 UPLAND LN N STE 205 , MAPLE GROVE, MN 553694474
NPI enumeration date: 07/09/2006
Provider: DR. BOYD KENT HARTMAN  M.D.
Gender: M
Specialty taxonomy code: 2084P0800X
License: 31425 (MN)
Practice location: 2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55454
NPI enumeration date: 07/10/2006
Provider: DR. MELISSA ANN GELLER  M.D.
Gender: F
Specialty taxonomy code: 207VX0201X
License: 44543 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1C, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/10/2006
Provider: DR. MARIE ELIZABETH STEINER  M.D.
Gender: F
Specialty taxonomy code: 208000000X
License: 30307 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/10/2006
Provider: DR. STEPHEN FRANCIS HOLLOWAY  M.D.
Gender: M
Specialty taxonomy code: 2084N0600X
License: 39795 (MN)
Practice location: 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1A UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/10/2006
Provider:  DOUGLES LEE HUFF  P.A.
Gender: M
Specialty taxonomy code: 363A00000X
License: 9087 (MN)
Practice location: 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1D UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/10/2006
Provider:  LYNN GALE HOKE  N.P.
Gender: F
Specialty taxonomy code: 363L00000X
License: R 102120-8 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB THIRD FLOOR, CLINIC 3B, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/10/2006
Provider: DR. CRAIG ALAN HENKE  M.D.
Gender: M
Specialty taxonomy code: 207R00000X
License: 28715 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/10/2006
Provider: DR. CYNTHIA RUTH HOWARD  M.D.
Gender: F
Specialty taxonomy code: 208000000X
License: 48146 (MN)
Practice location: 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100 UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/10/2006
Provider:  SHARI FAYE HOGAN  P.A.
Gender: F
Specialty taxonomy code: 363A00000X
License: 10041 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/10/2006
Provider: DR. STEPHEN JOHN HAINES  M.D.
Gender: M
Specialty taxonomy code: 207T00000X
License: 26572 (MN)
Practice location: UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1A, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/10/2006
Provider:  SIOBHAN KATHLEEN MCMAHON  RN NP
Gender: F
Specialty taxonomy code: 363LG0600X
License: 1838-33 (MN)
Practice location: 400 E 3RD ST ESSENTIA HEALTH 3RD STREET BUILDING, DULUTH, MN 558051951
NPI enumeration date: 07/11/2006
Organization: SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Also known as: GUNDERSEN ST. ELIZABETH'S HOSPITAL AND CLINICS
Specialty taxonomy code: 251E00000X
License: 330554 (MN)
Practice location: 1200 GRANT BLVD W , WABASHA, MN 559811042
NPI enumeration date: 07/11/2006
Provider:  JOSEPH STEPHEN MICALLEF  MD
Gender: M
Specialty taxonomy code: 207Q00000X
License: 44019 (MN)
Practice location: 1430 HWY 96 E - MAIL STOP 32300A HEALTHPARTNERS WHITE BEAR LAKE CLINIC, WHITE BEAR LAKE, MN 551107693
NPI enumeration date: 07/17/2006
Organization: SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Also known as: GUNDERSEN ST. ELIZABETH'S HOSPITAL AND CLINICS
Specialty taxonomy code: 314000000X
License: 330781 (MN)
Practice location: 1200 GRANT BLVD W , WABASHA, MN 559811042
NPI enumeration date: 07/18/2006
Provider:  ANN M SETTGAST  MD
Gender: F
Specialty taxonomy code: 207R00000X
License: 43793 (MN)
Practice location: 451 NORTH DUNLAP ST-MAIL STOP 32700A HEALTHPARTNERS MIDWAY CLINIC-CENTER FOR INTERNATIONAL H, ST. PAUL, MN 551042595
NPI enumeration date: 07/18/2006
Provider: MS. KAREN JANE SWANSON  PT, ATC, ATR
Gender: F
Specialty taxonomy code: 2255A2300X
License: 1225 (MN)
Practice location: 516 15TH AVE S E INTERCOLLEGIATE ATHLETICS ROOM 250 BFAB, MINNEAPOLIS, MN 55455
NPI enumeration date: 07/18/2006
Organization: JAMES C. E. ANDREA AND LYNNETTE K. E. ANDREA
Also known as: VADNAIS HEIGHTS FAMILY DENTISTRY
Specialty taxonomy code: 1223G0001X
License: 10099 (MN)
Practice location: 1230 COUNTY ROAD E E , SAINT PAUL, MN 551105132
NPI enumeration date: 07/19/2006
Provider: DR. TIMOTHY LOUIS GENDRON  MD
Gender: M
Specialty taxonomy code: 2084P0800X
License: MD10047 (RI)
Practice location: 5625 CENEX DR MAIL STOP 33100A HEALTHPARTNERS INVER GROVE HEIGHTS CLINIC, INVER GROVE HEIGHTS, MN 550771735
NPI enumeration date: 07/21/2006
Organization: DR. GREGORY M. MACIK, OPTOMETRIST, P.A.
Also known as: BURNSVILLE EYE CLINIC
Specialty taxonomy code: 152W00000X
License: 2973000 (MN)
Practice location: 150 TRAVELER'S TRAIL EAST SUITE D, BURNSVILLE, MN 55337
NPI enumeration date: 07/21/2006
Organization: MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
Also known as: MAYO CLINIC HEALTH SYSTEM PHARMACY-WESTGATE
Specialty taxonomy code: 3336L0003X
License: 8530 (WI)
Practice location: 1707 WESTGATE RD STE 1 , EAU CLAIRE, WI 547034964
NPI enumeration date: 07/25/2006
Organization: MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Also known as: MAYO CLINIC HEALTH SYSTEM-CANNON FALLS
Specialty taxonomy code: 282NC0060X
License: 331884 (MN)
Practice location: 32021 COUNTY ROAD 24 BLVD. , CANNON FALLS, MN 55009
NPI enumeration date: 07/26/2006
Provider: MRS. BARBARA ANN LEAFBLAD  RN-CNM
Gender: F
Specialty taxonomy code: 367A00000X
License: ACNM4337 (MN)
Practice location: 4194 LEXINGTON AVE N ARLINA MEDICAL CLINIC - SHOREVIEW, SHOREVIEW, MN 55126
NPI enumeration date: 07/28/2006
Organization: FOND DU LAC RESERVATION BUSINESS COMMITTEE
Also known as: FOND DU LAC HUMAN SERVICES DIVISION
Specialty taxonomy code: 332B00000X
License: 5985000001 (MN)
Practice location: 927 TRETTLE LANE FOND DU LAC HUMAN SERVICES DIVISION, CLOQUET, MN 55720
NPI enumeration date: 07/30/2006
Organization: MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL INC
Also known as: MAYO CLINIC STORE - MIDELFORT
Specialty taxonomy code: 332B00000X
License: 6005 (WI)
Practice location: 1400 BELLINGER ST. SUITE PHM #3, EAU CLAIRE, WI 547035222
NPI enumeration date: 07/31/2006
Organization: TOUCHING LIVES CHIROPRACTIC, P.C.
Also known as: KOSSAN FAMILY CHIROPRACTIC, INC.
Specialty taxonomy code: 111N00000X
License: 4260 (MN)
Practice location: 303 WEST 22ND AVENUE SUITE 100, ALEXANDRIA, MN 563082796
NPI enumeration date: 08/01/2006
Provider: DR. JOSEPH PAUL SCHUSTER  D.P.M.
Gender: M
Specialty taxonomy code: 213E00000X
License: 597 (MN)
Practice location: 2512 SOUTH 7TH STREET, FIRST FLOOR, R102 UNIVERSITY ORTHOPEADICS, MINNEAPOLIS, MN 55454
NPI enumeration date: 08/01/2006
Provider:  SINDHU M. DEVANI  MD
Gender: F
Specialty taxonomy code: 207RE0101X
License: 105168-TEMP (MN)
Practice location: 1900 CENTRACARE DR #2500 CENTRACARE CLINIC- HEALTH PLAZA SPECIALTIES/ENDOCRINOLO, ST CLOUD, MN 56303
NPI enumeration date: 08/03/2006
Organization: DAKOTA OPTOMETRIC EYE CARE ASSOCIATES, P.A.
Also known as: DAKOTA OPTOMETRIC EYE CARE ASSOCIATES, P.A.
Specialty taxonomy code: 152W00000X
License: 1789 (MN)
Practice location: 1540 HUMBOLDT AVE SUITE 201, SAINT PAUL, MN 551183417
NPI enumeration date: 08/03/2006
Provider:  HANADEE IBRAHIM ALAMELDIN  MBBS
Gender: F
Specialty taxonomy code: 207R00000X
License: 103395 (MN)
Practice location: 1200 6TH AVE N CENTRACARE CLINIC RIVER CAMPUS INTERNAL MEDICINE HOSPIT, SAINT CLOUD, MN 563032735
NPI enumeration date: 08/04/2006
Provider:  DAVID  MCGRAW-SCHUCHMAN  LICSW
Gender: M
Specialty taxonomy code: 1041C0700X
License: 00172 (MN)
Practice location: 5905 GOLDEN VALLEY RD STE 100 VOLUNTEERS OF AMERICA MINNESOTA, MENTAL HEALTH CLINICS, MINNEAPOLIS, MN 554224455
NPI enumeration date: 08/15/2006
Organization: LOWRY HILL DENTAL CLINIC PATRICK J PROCHASKA DDS ET.AL PARTNERS
Also known as: LOWRY HILL DENTAL CLINIC
Specialty taxonomy code: 1223G0001X
License: D9138 (MN)
Practice location: 1516 W LAKE ST SUITE 302, MINNEAPOLIS, MN 554082554
NPI enumeration date: 08/15/2006
Provider:  KIMMY S OBERSTAR  CPNP, PMHS
Gender: F
Specialty taxonomy code: 363LP0200X
License: R1115279 (MN)
Practice location: 360 SHERMAN ST STE 200 CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES STPL, SAINT PAUL, MN 551022567
NPI enumeration date: 08/17/2006
Organization: ST. JOSEPH'S MEDICAL CENTER
Also known as: ESSENTIA HEALTH ST. JOSEPH'S-LAKELAND PSYCHIATRY CLINIC
Specialty taxonomy code: 261QM0801X
License: 330736 (MN)
Practice location: 523 N 3RD ST 4TH FLOOR, BRAINERD, MN 564013054
NPI enumeration date: 08/17/2006
Provider:  AMY ANNE DONATELLI LASSIG  MD
Gender: F
Specialty taxonomy code: 207Y00000X
License: 4301078065 (MI)
Practice location: 420 DELAWARE ST SE UNIV OF MINNESOTA DEPT OF OTO, LIONS 5M HEARING CENTER, MINNEAPOLIS, MN 554550341
NPI enumeration date: 08/25/2006
Provider: MRS. MARILYN JOY FISKE MAST  MS COUNSELING
Gender: F
Specialty taxonomy code: 106H00000X
License: 397 (MN)
Practice location: 900 LONG LAKE RD SUITE 320 ARDEN WOODS PSYCHOLOGICAL SERVICES, NEW BRIGHTON, MN 551126428
NPI enumeration date: 09/01/2006
Provider: MS. JOANNE MARGUERITE DUCOMMUN  RN, BSN
Gender: F
Specialty taxonomy code: 163WG0000X
License: R085971-4 (MN)
Practice location: 225 SMITH AVE N ST. PAUL HEART CLINIC,SUITE 400, SAINT PAUL, MN 551022534
NPI enumeration date: 09/05/2006
Organization: CHILDRENS HEALTH CARE SERVICES INC
Also known as: CHILDRENS MINNETONKA
Specialty taxonomy code: 261QA1903X
License: 331022 (MN)
Practice location: 6050 CLEARWATER DRIVE CHILDRENS MINNETONKA AMBULATORY SURGICAL CTR, MINNETONKA, MN 55343
NPI enumeration date: 09/08/2006
Organization: EDWARD L REQUET DC PA
Also known as: REQUET CHIROPRACTIC WELLNESS CENTER
Specialty taxonomy code: 111N00000X
License: MN3177 (MN)
Practice location: 600 MARKET ST SUITE 260 REQUET CHIROPRACTIC WELLNESS CENTER, CHANHASSEN, MN 55317
NPI enumeration date: 09/08/2006
Provider:  ATASHI  ACHARYA  MSW, ACSW, LICSW
Gender: F
Specialty taxonomy code: 1041C0700X
License: LICSW 4266 (MN)
Practice location: 5905 GOLDEN VALLEY RD STE # 110, GOLDEN VALLEY, MN 554224463
NPI enumeration date: 09/16/2006
Organization: SHARON STEIN MCNAMARA ED D PSYCHOLOGY INC
Also known as: SHARON STEIN MCNAMARA, ED.D.,LICENSED PSYCHOLOGIST
Specialty taxonomy code: 103TA0400X
License: MN LP2991 (MN)
Practice location: 4700 LEXINGTON AVE N STE B1A , SHOREVIEW, MN 551265867
NPI enumeration date: 09/16/2006
Organization: GENERATIONS WOMEN'S HEALTH CENTER, P.A.
Also known as: GENERATIONS WOMEN'S HEALTH CENTER, P.A.
Specialty taxonomy code: 207V00000X
License: 7782304 (MN)
Practice location: 1030 COUNTY ROAD E, WEST SUITE 200, SHOREVIEW, MN 551268152
NPI enumeration date: 09/20/2006
Organization: CHISAGO COUNTY COUNCIL FOR EXCEPTIONAL INDIVIDUALS, INC.
Also known as: CHISAGO LAKES ACHIEVEMENT CENTER
Specialty taxonomy code: 251C00000X
License: 8004723DTH (MN)
Practice location: 10985 LAKE BLVD. , CHISAGO CITY, MN 550130410
NPI enumeration date: 09/20/2006
Provider:  BARBARA SUE GOODMAN-FISCHTROM  LICSW,LMFT,LADC
Gender: F
Specialty taxonomy code: 104100000X
License: 2270 (MN)
Practice location: 11812 WAYZATA BLVD SUITE # 120, MINNETONKA, MN 553052012
NPI enumeration date: 09/20/2006
Organization: CHILDRENS HEALTH CARE
Also known as: CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA
Specialty taxonomy code: 332B00000X
License: 330291 (MN)
Practice location: 2525 CHICAGO AVENUE SOUTH CHILDRENS HOSPITALS AND CLINICS - DURABLE MEDICAL EQUIP, MINNEAPOLIS, MN 55404
NPI enumeration date: 09/21/2006
Provider:  JONI  HALL  MSN, FNP & WHCNP-BC
Gender: F
Specialty taxonomy code: 363LF0000X
License: RN116559 (AZ)
Practice location: 6500 EXCELSIOR BLVD PARK NICOLLET HEALTH SERVICES, ST LOUIS PARK, MN 554264702
NPI enumeration date: 09/25/2006
Provider: MRS. CHRISTINA LEE-KRIZ DELEEUW  M.S., CCC-SLP
Gender: F
Specialty taxonomy code: 235Z00000X
License: 7751 (MN)
Practice location: 300 COON RAPIDS BLVD NW SUITE #200, COON RAPIDS, MN 554335643
NPI enumeration date: 09/26/2006
Provider:  MOLLY S FRITZ-BECKERS  MS RN PMHCNS BC
Gender: F
Specialty taxonomy code: 364S00000X
License: R1456077 (MN)
Practice location: RANGE MENTAL HEALTH CENTER PERPICH BUILDING 3203 W 3RD AVE, HIBBING, MN 55746
NPI enumeration date: 09/26/2006
Provider:  BRENDA JEAN DUNLAP  MD
Gender: F
Specialty taxonomy code: 2084P0800X
License: 47893 (MN)
Practice location: 3800 PARK NICOLLET BLVD PARK NICOLLET CLINIC MENTAL HEALTH DEPT 3RD FLOOR N., ST LOUIS PARK, MN 554162527
NPI enumeration date: 09/28/2006
Provider:  RAJA  KANDASWAMY  MD
Gender: M
Specialty taxonomy code: 208600000X
License: 40288 (MN)
Practice location: 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A UMP TRANSPLANT & MEDICINE SPECIALTIES, MINNEAPOLIS, MN 554550356
NPI enumeration date: 09/28/2006
Organization: CHILDRENS HEALTH CARE
Also known as: CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA
Specialty taxonomy code: 261QE0002X
License: 331019 (MN)
Practice location: 345 NORTH SMITH AVENUE CHILDRENS HOSPITALS AND CLINICS EMERGENCY PHYSICIANS, ST PAUL, MN 55102
NPI enumeration date: 10/02/2006
Organization: CHILDRENS HEALTH CARE
Also known as: CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA
Specialty taxonomy code: 291U00000X
License: 331019 (MN)
Practice location: 345 NORTH SMITH AVENUE CHILDRENS HOSPITALS AND CLINICS PATHOLOGY STPL, ST PAUL, MN 55102
NPI enumeration date: 10/02/2006
Organization: CHILDRENS HEALTH CARE
Also known as: CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA
Specialty taxonomy code: 261QM0801X
License: 331019 (MN)
Practice location: 345 NORTH SMITH AVENUE CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES STPL, ST PAUL, MN 55102
NPI enumeration date: 10/02/2006
Organization: CREST VIEW CORPORATION
Also known as: CV LUTHERAN HOME, BLVD APTS, ROYCE PLACE, CV HOME CARE
Specialty taxonomy code: 251E00000X
License: 330353 (MN)
Practice location: 4444 RESERVOIR BLVD NE , COLUMBIA HEIGHTS, MN 55421
NPI enumeration date: 10/02/2006
Provider: DR. DAVID CONRAD MAIR  MD
Gender: M
Specialty taxonomy code: 207ZB0001X
License: 43422 (MN)
Practice location: DEPT OF LAB MED & PATH; UNIV. OF MN MED. CTR. 420 DELAWARE ST SE; MAYO BLDG-MMC 609-ROOM D251, MINNEAPOLIS, MN 55455
NPI enumeration date: 10/02/2006
Provider:  ANN  WEDEL  PT PHYSICAL THERAPIS
Gender: F
Specialty taxonomy code: 225100000X
License: 1487 (MN)
Practice location: 515 6TH AVE SE 757 RAYMOND AVE, SUITE 204, ST PAUL, MN 55114, AITKIN, MN 564311814
NPI enumeration date: 10/04/2006
Provider: DR. MAUREEN L KEMPER  MD
Gender: F
Specialty taxonomy code: 207Q00000X
License: 26264 (MN)
Practice location: 1900 CENTRACARE CIR, #1450 CENTRACARE CLINIC HEALTH PLAZA SPECIALTY/FAMILY MEDICIN, ST CLOUD, MN 563035000
NPI enumeration date: 10/04/2006
Organization: MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Also known as: MAYO CLINIC HEALTH SYSTEM-ALBERT LEA
Specialty taxonomy code: 332H00000X
License: 330838 (MN)
Practice location: 404 W FOUNTAIN ST STE 3 , ALBERT LEA, MN 560072437
NPI enumeration date: 10/06/2006
Organization: MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Also known as: MAYO CLINIC HEALTH SYSTEM-ALBERT LEA AND AUSTIN
Specialty taxonomy code: 251G00000X
License: 329543 (MN)
Practice location: 1705 SE BROADWAY AVE , ALBERT LEA, MN 560073265
NPI enumeration date: 10/06/2006