Individual
SPAULDING F EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2904 JOHNSON ST NE, MINNEAPOLIS, MN 55418-2234
(612) 782-0900
(612) 788-4930
Mailing address
2904 JOHNSON ST NE, MINNEAPOLIS, MN 55418-2234
(612) 782-0900
(612) 788-4930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22350
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406126
MEDICA
MN
01
—
372R8EV
BLUES
MN
01
—
MA3011001372
PREFERRED ONE
MN
Enumeration date
01/15/2007
Last updated
07/09/2007
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