Individual
DR. CARMEN GLORIA AVENDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
16210 39TH PL N, PLYMOUTH, MN 55446-1354
(763) 226-1148
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
65450
MN
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
65450
MN
208000000X
Pediatrics Physician
65450
MN
Other
Enumeration date
04/01/2014
Last updated
07/23/2019
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