Organization
ENDOCRINOLOGY CLINIC OF MINNEAPOLIS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J JEFFREY RUEGEMER MD (PHYSICIAN)
(952) 927-7810
Entity
Organization
Contact information
Practice address
7701 YORK AVE S, SUITE 180, EDINA, MN 55435-5845
(952) 927-7810
(952) 927-6309
Mailing address
7701 YORK AVE S, SUITE 180, EDINA, MN 55435-5845
(952) 927-7810
(952) 927-6309
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1261
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184810100
—
MN
01
—
3100
HEALTH PARTNERS
MN
01
—
53964TH
BLUE CROSS BLUE SHIELD
MN
01
—
96054
PREFERRED ONE
MN
01
—
C626
UCARE
MN
Enumeration date
04/12/2006
Last updated
05/06/2008
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