Individual
JAMES S VAN VOOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UFP BETHESDA CLINIC, 580 RICE STREET, SAINT PAUL, MN 55103
(651) 227-6551
(651) 665-0684
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414-2924
(612) 884-0649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35987
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F852VA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
09/26/2006
Last updated
04/18/2012
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