Individual
KEVIN M. DEINEMA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 871-7639
(612) 872-0302
Mailing address
2545 CHICAGO AVE, SUITE 311, MINNEAPOLIS, MN 55404-4522
(612) 871-7639
(612) 872-0302
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
44670
MN
Other
Enumeration date
03/01/2006
Last updated
07/08/2007
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