Individual
DR. JORDAN GIL MARMET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 HARVARD ST SE, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW, MINNEAPOLIS, MN 55455-0363
(612) 273-3000
(612) 273-4370
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
(612) 676-8992
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45577
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1203084
MEDICA
MN
01
—
132358
UCARE
MN
01
—
501T9MA
BCBS
MN
05
—
88965510
—
MN
01
—
CP9041040409
PREFERREDONE
MN
Enumeration date
02/13/2006
Last updated
02/20/2013
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