Organization
RIVERSIDE FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M AMER MD (PRESIDENT)
(612) 332-1534
Entity
Organization
Contact information
Practice address
606 24TH AVE S, SUITE 813, MINNEAPOLIS, MN 55454-1455
(612) 332-1534
(612) 332-1537
Mailing address
606 24TH AVE S, SUITE 813, MINNEAPOLIS, MN 55454-1455
(612) 332-1534
(612) 332-1537
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02962RI
BCBS
MN
01
—
1813
HEALTHPARTNERS
MN
Enumeration date
11/08/2006
Last updated
08/22/2020
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