Organization
PAMELA CAIN, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA A CAIN M.D. (OWNER/PHYSICIAN)
(952) 938-6699
Entity
Organization
Contact information
Practice address
6490 EXCELSIOR BLVD STE W106, ST LOUIS PARK, MN 55426-4741
(952) 938-6699
(952) 938-1906
Mailing address
6490 EXCELSIOR BLVD STE W106, ST LOUIS PARK, MN 55426-4741
(952) 938-6699
(952) 938-1906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28042
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407565
MEDICA
MN
01
—
132304
UCARE
MN
01
—
296G3CA
BLUE CROSS OF MN
MN
01
—
HP10204
HEALTH PARTNERS
MN
Enumeration date
10/09/2006
Last updated
08/22/2020
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