Individual
JOHN CUMMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 PARK AVE, P5, MINNEAPOLIS, MN 55415-1623
(612) 873-2810
Mailing address
2860 DEER RUN TRL, ORONO, MN 55356-9690
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36878
MN
2086S0102X
Surgical Critical Care Physician
36878
MN
2086S0127X
Trauma Surgery Physician
36878
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102821900
—
MN
Enumeration date
06/28/2006
Last updated
09/01/2011
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