Individual
JOSE ERNESTO MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, PWB THIRD FLOOR, CLINIC 3B, MINNEAPOLIS, MN 55455-0356
(612) 625-3600
Mailing address
420 DELAWARE STREET SEMMC 292, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 625-3600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20085
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079814
FAIRVIEW
MN
05
—
0997775
—
IA
01
—
1009247
PREFERRED ONE
MN
01
—
101590
UCARE
MN
05
—
154095500
—
MN
01
—
18-00014
MEDICA PRIMARY
MN
01
—
18-22598
MEDICA CHOICE
MN
01
—
2T100MO
BLUE CROSS BLUE SHIELD
MN
01
—
768275
ARAZ
MN
01
—
HP22192
HEALTH PARTNERS
MN
Enumeration date
09/14/2006
Last updated
10/26/2012
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