Individual
JAY M HEMMILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 OAKDALE AVE NORTH, NORTH MEMORIAL HEALTH CARE, ROBBINSDALE, MN 55422
(763) 520-2827
(763) 520-1022
Mailing address
PO BOX 14500 NW 7735, NORTH MEMORIAL HOSPITAL MEDICINE SERVICE, MINNEAPOLIS, MN 55485-7735
(763) 520-2827
(763) 520-1022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41635
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1027554
PREFERRED ONE
—
01
—
1367513
AMERICAS PPO
—
01
—
140385
UCARE MN
—
05
—
34085300
—
WI
01
—
403072
MEDICA
—
01
—
75B89HE
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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