Individual
JAMIE D SANTILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
580 RICE ST, SAINT PAUL, MN 55103-2148
(651) 227-6551
(651) 665-0684
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414-2924
(612) 884-0649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30179
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-02033
MEDICA CHOICE/DUAL/PTCH #
MN
01
—
1011317
PREFERRED ONE
MN
01
—
105412
UCARE PROVIDER NUMBER
MN
05
—
1536763
—
IA
05
—
31506900
—
WI
01
—
53A27SA
BCBS OF MN PROVIDER NUMBE
MN
05
—
609882700
—
MN
01
—
768334
AMERICA'S PPO NUMBER
MN
01
—
HP11368
HEALTHPARTNERS NUMBER
MN
Enumeration date
09/26/2006
Last updated
04/18/2012
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