Individual
JAMES HAZELWOOD SOMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6363 FRANCE AVE S, SUITE 400, EDINA, MN 55435-2129
(952) 920-2070
(952) 920-7444
Mailing address
6363 FRANCE AVE S, SUITE 400, EDINA, MN 55435-2129
(952) 920-2070
(952) 920-7444
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
23088
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0734009
PREFERREDONE
MN
01
—
21972
FHP
MN
01
—
30724900
WISCONSIN MA
WI
01
—
3102278
PHP
MN
01
—
3180156
MEDICA PRIMARY
MN
01
—
34Q11SO
BCBS
MN
01
—
HP14442
HEALTHPARTNERS
MN
Enumeration date
08/19/2006
Last updated
12/03/2007
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