Individual
ERICK E JIMENEZ GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 RIVERSIDE AVE # AO-401, MINNEAPOLIS, MN 55454-1450
(612) 626-2755
Mailing address
2450 RIVERSIDE AVE # AO-401, MINNEAPOLIS, MN 55454-1450
(612) 626-2755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125067574
IL
208000000X
Pediatrics Physician
Primary
6477-851
WI
Other
Enumeration date
06/22/2015
Last updated
07/26/2022
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