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Individual

JUAN C ANGELATS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6545 FRANCE AVENUE SOUTH, SUITE 540, EDINA, MN 55435
(952) 927-4045
(952) 924-4133
Mailing address
6545 FRANCE AVENUE SOUTH, SUITE 540, EDINA, MN 55435
(952) 927-4045
(952) 924-4133

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
42594
MN
207VE0102X
Reproductive Endocrinology Physician
42594
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
073826300
MN
01
094M9AN
BCBS OF MN
01
HP35290
HEALTH PARTNERS
MN
Enumeration date
02/21/2006
Last updated
03/11/2021
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