Individual
GARY J REMAFEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
KDWB UNIVERSITY PEDIATRICS FAMILY CENTER, 200 OAK STREET SE, SUITE 160, MINNEAPOLIS, MN 55455
(612) 626-4260
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MINNEAPOLIS, MN 55455
(612) 626-4260
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27967
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0990564
—
IA
01
—
1009288
PREFERRED ONE
MN
01
—
100935
UCARE
MN
01
—
1224532
MEDICA CHOICE
MN
01
—
1270261
MEDICA PRIMARY
MN
01
—
768320
ARAZ
MN
01
—
HP22003
HEALTH PARTNERS
MN
Enumeration date
10/23/2006
Last updated
07/08/2007
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