Individual
MR. RONALD W. KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2855 CAMPUS DR, SUITE 400, PLYMOUTH, MN 55441-2649
(763) 577-7400
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22180
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401486
MEDICA
MN
01
—
110043934
RR MEDICARE
MN
01
—
14P16508
HEALTHPARTNERS
MN
05
—
594288800
—
MN
Enumeration date
07/20/2005
Last updated
10/07/2014
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