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Individual

DR. RAFAEL E JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
50416
MN
207ZP0101X
Anatomic Pathology Physician
50416
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
50416
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2587357
OH
05
35352100
WI
05
ENROLLED
IA
05
ENROLLED
MN
05
ENROLLED
SD
01
P00632060
RAILROAD MEDICARE
MN
Enumeration date
07/03/2006
Last updated
10/06/2020
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