Individual
JAMES BRUCE REDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PWB SIXTH FLOOR, CLINIC 6A, 516 DELAWARE STREET SE, MINNEAPOLIS, MN 55455
(612) 625-8690
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MINNEAPOLIS, MN 55455
(612) 625-8690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32422
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
32422
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051629
—
MT
01
—
1009286
PREFERRED ONE
MN
01
—
101507
UCARE
MN
01
—
22T39RE
BLUE CROSS BLUE SHIELD
MN
05
—
314502600
—
MN
01
—
33-00009
MEDICA PRIMARY
MN
01
—
33-07273
MEDICA CHOICE
MN
01
—
768317
ARAZ
MN
01
—
HP22060
HEALTH PARTNERS
MN
Enumeration date
10/26/2006
Last updated
10/26/2012
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