Individual
ANDREW GEORGIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
(651) 602-6885
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
(651) 602-6885
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301094549
MI
207X00000X
Orthopaedic Surgery Physician
Primary
59901
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400266677
MEDICARE PTAN
MN
Enumeration date
06/23/2009
Last updated
06/07/2019
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