Organization
JAMES S. GUERRERO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SAMUEL GUERRERO M.D. (OWNER)
(952) 842-0882
Entity
Organization
Contact information
Practice address
5001 AMERICAN BLVD W, SUITE 550, BLOOMINGTON, MN 55437-1108
(952) 842-0882
(952) 842-0883
Mailing address
5001 AMERICAN BLVD W, SUITE 550, BLOOMINGTON, MN 55437-1108
(952) 842-0882
(952) 842-0883
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19891
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619071917
NPI INDIVIDUAL PROVIDER
MN
01
—
26D16GU
BLUE CROSS BLUE SHIELD
MN
Enumeration date
05/17/2007
Last updated
08/22/2020
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