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Individual

FREDERICK C GRAMITH

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) 573-2200
(612) 573-2274
Mailing address
1221 NICOLLET AVE, SUITE 600, MINNEAPOLIS, MN 55403-2420
(612) 573-2200
(612) 573-2274

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
26059
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01016774
DAKOTA CARE
MN
05
0531723
IA
01
1016774
PREFERRED ONE
MN
01
105083
UCARE
MN
01
1M525GR
BLUE CROSS
MN
01
22831
AMERICA'S PPO
MN
01
252824
MIDLANDS CHOICE INC
MN
01
300028376
RAILROAD MEDICARE WI
WI
01
300077264
RAILROAD MEDICARE MN
MN
01
300G7GR
BLUE CROSS
MN
05
30707100
WI
05
831770400
MN
01
HP13405
HEALTHPARTNERS
MN
Enumeration date
05/19/2006
Last updated
02/18/2015
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