Individual
JEFFREY P LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, UNIVERSITY OF MINNESOTA, DIVISION OF EMEREGNCY MEDICINE, MINNEAPOLIS, MN 55454-1450
(612) 625-6678
Mailing address
2910 CENTRE POINTE DRIVE, 35121A CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2327
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
42687
MN
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
42687
MN
208000000X
Pediatrics Physician
42687
MN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
42687
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375497900
—
MN
Enumeration date
11/01/2006
Last updated
05/01/2012
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