Individual
DR. TODD SEELHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 SNELLING AVE N, SAINT PAUL, MN 55104-5330
(651) 645-3628
Mailing address
60 PLATO BLVD E, SUITE 270, SAINT PAUL, MN 55107-1827
(651) 209-1600
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
54255
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030001090
MEDICA
MN
01
—
070001054
MEDICARE PTAN
MN
01
—
0FE47SE
BLUECROSS BLUE SHIELD PROVIDER ID
MN
Enumeration date
05/15/2009
Last updated
09/20/2013
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