Individual
GWEN K NAZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 NICOLLET AVE, SUITE 600, MINNEAPOLIS, MN 55403-2420
(612) 573-2232
(612) 573-2274
Mailing address
1221 NICOLLET AVE, SUITE 600, MINNEAPOLIS, MN 55403-2420
(612) 573-2232
(612) 573-2274
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35073
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004D5NA
BLUE CROSS
MN
01
—
1010359
PREFERRED ONE
MN
01
—
105563
UCARE
MN
05
—
151105
—
IA
01
—
300117464
RAILROAD MEDICARE MN
MN
05
—
31777600
—
WI
01
—
45D71NA
BLUE CROSS
MN
05
—
532590100
—
MN
01
—
766039
AMERICA'S PPO
MN
01
—
HP21404
HEALTHPARTNERS
MN
Enumeration date
05/23/2006
Last updated
05/01/2008
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