Individual
DR. CONSTANCE A ADKISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 PARK AVE, HCMC G-7, MINNEAPOLIS, MN 55415-1623
(612) 873-2686
Mailing address
914 S 8TH ST, S6, MINNEAPOLIS, MN 55404-1210
(612) 347-5954
(612) 373-1886
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
36452
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318763200
—
MN
01
—
370003388
MEDICARE
MN
Enumeration date
05/04/2006
Last updated
08/31/2011
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