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Individual

SIM GESUNDHEIT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
(651) 602-7517
Mailing address
11928 SAINT ALBANS HOLLOW DR, MINNETONKA, MN 55305-3983

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18010
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0406103
MEDICA
MN
01
107291
UCARE
MN
01
141K8GE
BCBS
MN
01
HP19884
HEALTH PARTNERS
MN
Enumeration date
03/23/2006
Last updated
07/08/2007
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