Individual
JAMES FITZSIMONS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
(651) 602-7517
Mailing address
206 HAYDEN LAKE RD E, CHAMPLIN, MN 55316-1497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30436
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406512
MEDICA
MN
01
—
141222
UCARE
MN
01
—
287M2FI
BCBS
MN
01
—
HP25435
HEALTH PARTNERS
MN
01
—
NA9021000129
PREFERRED ONE
MN
Enumeration date
03/24/2006
Last updated
07/08/2007
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