Individual
ECE MERAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
420 DELAWARE ST SE STE MMC292, MINNEAPOLIS, MN 55455-6300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
73145-20
WI
2085R0202X
Diagnostic Radiology Physician
76413
MN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
76413
MN
Other
Enumeration date
04/24/2018
Last updated
09/04/2024
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