MEDICARE: GREGORY M AMER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	22661	MN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	080026084	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0101643	OTHER	MEDICA
4	231R9AM	OTHER	BLUE CROSS
5	FP3202	OTHER	AMERICAS PPO
6	FP1420457001	OTHER	PREFERRED ONE
7	109398	OTHER	UCARE MEDICAL ASSIST
8	109398C620	OTHER	UCARE FOR SENIOR

General Provider Information

NPI Number	:	1033111018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY M AMER MD

Provider Business Mailing Address
First Line	:	606 24TH AVE S
Second Line	:	SUITE 700
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55454-1455
Country	:	US
Telephone Number	:	612-672-2450
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 24TH AVE S
Second Line	:	SUITE 700
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55454-1455
Country	:	US
Telephone Number	:	612-672-2450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	04/11/2012

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Directions to “ GREGORY M AMER MD” Practice Location

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