Individual
MICHAEL J AYLWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 638-0700
(612) 627-4205
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE ST SE, MMC 136, MINNEAPOLIS, MN 55455
(612) 624-9499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46931
MN
208000000X
Pediatrics Physician
46931
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152568
—
MT
01
—
04-00123
MEDICA PRIMARY
—
01
—
04-08320
MEDICA CHOICE
—
05
—
075159600
—
MN
Enumeration date
05/23/2006
Last updated
10/23/2014
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