Individual
JAMES W HAEFEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2220 RIVERSIDE AVE, 21110Q, MINNEAPOLIS, MN 55454-1321
(612) 371-1600
(612) 371-1732
Mailing address
2220 RIVERSIDE AVE, 21110Q, MINNEAPOLIS, MN 55454-1321
(612) 371-1600
(612) 371-1732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24782
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
484203100
—
MN
Enumeration date
03/07/2006
Last updated
04/24/2008
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