Individual
ANGELA M MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2635 UNIVERSITY AVE W STE 160, SAINT PAUL, MN 55114-1271
(651) 254-5800
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(651) 254-5800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37036
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
624013500
—
MN
Enumeration date
02/28/2006
Last updated
01/30/2020
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