MEDICARE: UNIVERSITY OF MINNESOTA PHYSICIANS

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	261QM1300X	Multi-Specialty Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477598118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF MINNESOTA PHYSICIANS

Provider Business Mailing Address
First Line	:	720 WASHINGTON AVE SE STE 200
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55414-2924
Country	:	US
Telephone Number	:	612-884-0600
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 WASHINGTON AVE SE STE 200
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55414-2924
Country	:	US
Telephone Number	:	612-672-7422
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	WILLIAM SIBERT
Credential	:
Telephone Number	:	612-884-0600

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	12/04/2024

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