Individual
MARTIN S BLUMENREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 S MAPLE ST, SUITE 100, WACONIA, MN 55387-1733
(952) 442-6606
(952) 442-6604
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
(651) 602-5309
(651) 222-6786
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
38112
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01020430
PREFERRED ONE
MN
01
—
115537
UCARE MN
MN
01
—
3612394
MEDICA
MN
01
—
40B36BL
BLUE CROSS & BLUE SHIELD
MN
05
—
505875900
—
MN
01
—
844847
AMERICA'S PPO
MN
01
—
HP24193
HEALTHPARTNERS
MN
Enumeration date
03/09/2006
Last updated
11/29/2017
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