DR. M.D. Jutta Ellermann, NPI 1104854702
Diagnostic Radiology Physician in Minneapolis, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1104854702
NPI Entity Type Individual
Provider Name DR. M.D. Jutta Ellermann
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 516 Delaware Street Se, Pwb 1st Fl Clinic 1d University Of Minnesota Physicians, Minneapolis, MN, US
Provider Mailing Address 420 Delaware Street Se, Mmc 292 University Of Minnesota Physicians, Minneapolis, MN, US, 55455
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. 42872
License State MN
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. M.D. Jutta Ellermann
516 Delaware Street Se
Pwb 1st Fl Clinic 1d University Of Minnesota Physicians

Minneapolis, MN, US

Phone: 612-273-6004
Fax: 612-273-8459

Mailing Address

DR. M.D. Jutta Ellermann
420 Delaware Street Se
Mmc 292 University Of Minnesota Physicians
Minneapolis, MN, US
ZIP 55455
Phone: 612-626-3345

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0595157 IA MEDICAID 05
1043942 MN PREFERRED ONE 01
614T7EL MN BCBS 01
132952 MN UCARE 01
2366357 MN ARAZ 01
HP56036 MN HEALTPARTNERS 01
0097104 MT MEDICAID 05
16-02032 MN MEDICA PRIMARY 01
16-03394 MN MEDICA CHOICE 01
34623400 WI MEDICAID 05

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Organization

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