Organization
CENTER FOR REPRODUCTIVE MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLA J BECKER (CLINIC ADMINISTRATOR)
(612) 863-5390
Entity
Organization
Contact information
Practice address
2828 CHICAGO AVE, SUITE 400, MINNEAPOLIS, MN 55407-1544
(612) 863-5390
(612) 863-2697
Mailing address
2828 CHICAGO AVE, SUITE 400, MINNEAPOLIS, MN 55407-1544
(612) 863-5390
(612) 863-2697
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032718
PREFERRED ONE
MN
01
—
138391
PATIENT CHOICE
—
01
—
64G41CE
BLUE CROSS
MN
01
—
88918
HEALTH PARTNERS
MN
Enumeration date
07/10/2006
Last updated
07/24/2009
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