Individual
GEORGE M REALMUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2312 S 6TH ST, SUITE F256 / 2B WEST, MINNEAPOLIS, MN 55454-1336
(612) 273-8700
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MINNEAPOLIS, MN 55455
(612) 273-8700
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
24370
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0998823
—
IA
01
—
1009284
PREFERRED ONE
MN
01
—
102824
UCARE
MN
05
—
10387
—
ND
01
—
15-39939
MEDICA PRIMARY
MN
05
—
30275300
—
WI
01
—
765579
ARAZ
MN
05
—
7777470
—
SD
01
—
8D934RE
BLUE CROSS BLUE SHIELD
MN
05
—
909890900
—
MN
01
—
HP22342
HEALTH PARTNERS
MN
Enumeration date
10/24/2006
Last updated
07/08/2007
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