Individual
KENNETH F PREIMESBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
2085N0904X
Nuclear Radiology Physician
Primary
19507
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0247012
PREFERRED ONE
MN
05
—
0534339
—
IA
01
—
100704
UCARE
MN
05
—
135295400
—
MN
01
—
14046PR
BLUE CROSS
MN
01
—
23005
AMERICA'S PPO
MN
01
—
25Q35PR
BLUE CROSS
MN
01
—
300017562
RAILROAD MEDICARE WI
WI
01
—
300085341
RAILROAD MEDICARE MN
MN
05
—
30626800
—
WI
01
—
HP14197
HEALTHPARTNERS
MN
Enumeration date
05/24/2006
Last updated
07/02/2008
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