Organization
JAMES S. GUERRERO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES S GUERRERO MD (OWNER)
(952) 842-0883
Entity
Organization
Contact information
Practice address
5151 EDINA INDUSTRIAL BLVD, STE 110, EDINA, MN 55439-3013
(952) 842-0883
Mailing address
5151 EDINA INDUSTRIAL BLVD, STE 110, EDINA, MN 55439-3013
(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
—
260001771
MEDICARE PROVIDER NUMBER
MN
01
—
26D16GU
BLUE CROSS BLUE SHIELD PROVIDER NUMBER
MN
05
—
533283400
—
MN
Enumeration date
01/20/2011
Last updated
01/20/2011
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