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Individual

DR. DEBORAH ANNE DEMARAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13819 HANSON BLVD NW, ANDOVER, MN 55304-7608
(763) 572-5710
(763) 862-4490
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30250
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08F19DE
BCBS OF MN
MN
01
1000890
PREFERRED ONE
MN
01
107287
UCARE MN
MN
01
1200395
MEDICA
MN
01
24161
AMERICA'S PPO
MN
01
4134987
AETNA
MN
01
6603947
MEDICA UC
MN
05
674508300
MN
01
HP19874
HEALTHPARTNERS
MN
Enumeration date
04/05/2006
Last updated
03/23/2012
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