Individual
MARC R PRITZKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
420 DELAWARE ST SE, MMC 508, MINNEAPOLIS, MN 55455-0341
(612) 625-3600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23357
MN
207RC0000X
Cardiovascular Disease Physician
Primary
23357
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30514700
—
WI
Enumeration date
06/05/2006
Last updated
07/21/2022
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