Individual
JEFFREY GREEN CHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1E, MINNEAPOLIS, MN 55455
(612) 626-6666
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 11, MINNEAPOLIS, MN 55455
(612) 625-7911
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
43119
MN
2086S0102X
Surgical Critical Care Physician
Primary
43119
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0546366
—
IA
01
—
1027286
PREFERRED ONE
MN
01
—
1367517
ARAZ
MN
01
—
151581
UCARE
MN
01
—
162A2CH
BCBS
MN
01
—
17-00026
MEDICA PRIMARY
MN
01
—
17-00561
MEDICA CHOICE
MN
05
—
317175200
—
MN
05
—
34024900
—
WI
01
—
HP31332
HEALTHPARTNERS
MN
Enumeration date
06/26/2006
Last updated
10/25/2012
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