Individual
PATRICIA ESTELA BLUMENREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Mailing address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38113
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015941
PREFERRED ONE
MN
01
—
121372
U CARE
MN
01
—
1524334
UBH MEDICA
MN
05
—
737018100
—
MN
01
—
82D10BL
BLUE CROSS BLUE SHIELD
MN
01
—
HP30289
HEALTH PARTNERS
MN
Enumeration date
08/15/2005
Last updated
02/19/2014
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