Individual
DR. ROY KAGUMBA KIBERENGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4762
(612) 863-8425
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
055554
CT
207L00000X
Anesthesiology Physician
290680
MA
207L00000X
Anesthesiology Physician
41888
IA
207L00000X
Anesthesiology Physician
62855
MN
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
62855
MN
Other
Enumeration date
04/23/2010
Last updated
03/13/2024
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