Individual
DR. SAUL AARRON MCBROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21260 CHIPPENDALE AVE W, FARMINGTON, MN 55024-1427
(651) 463-7181
Mailing address
5 W LAKE ST, MINNEAPOLIS, MN 55408-3117
(612) 545-9250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47721
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0596171
—
IA
01
—
1032683
PREFERRED ONE
—
01
—
106789
UCARE
—
05
—
34680300
—
WI
01
—
634T2SA
BLUE CROSS BLUE SHIELD
—
01
—
66-08732
MEDICA/URGENT CARE
—
05
—
660303300
—
MN
01
—
HP54877
HEALTHPARTNERS
—
Enumeration date
10/26/2006
Last updated
03/11/2021
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