Individual
GREGORY ALLEN RATHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000
Mailing address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
50112
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134436
UCARE
MN
01
—
16-04895
MEDICA
MN
05
—
170453000
—
MN
01
—
1891990404
AMERICA'S PPO
MN
05
—
1891990404
—
MN
01
—
300004210
MEDICARE
MN
01
—
300004211
MEDICARE
MN
05
—
34911200
—
WI
01
—
6G394RA
BLUE CROSS BLUE SHIELD
MN
01
—
960371004676
PREFERRED ONE
MN
01
—
HP78435
HEALTH PARTNERS
MN
01
—
P00406914
RAILROAD MEDICARE
MN
Enumeration date
06/15/2007
Last updated
02/20/2025
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