Individual
DR. JEREMY RUSSELL ALLRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 DELAWARE STREET SE, MMC 480, MINNEAPOLIS, MN 55455
(612) 301-3204
Mailing address
420 DELAWARE ST SE, MMC 284, MINNEAPOLIS, MN 55455-0341
(612) 626-5031
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2015
Last updated
06/18/2021
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