Healthcare Provider Details

I. General information

NPI: 1336208669
Provider Name (Legal Business Name): REBECCA RUTH FRENCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA SHOBE

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 24TH AVENUE SOUT SUITE 300 RIVERISIDE PROFESSIONAL BLDG
MINNEAPOLIS MN
55454
US

IV. Provider business mailing address

420 DELAWARE ST SE MMC 395 UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS MN
55455
US

V. Phone/Fax

Practice location:
  • Phone: 612-273-7111
  • Fax:
Mailing address:
  • Phone: 612-273-7111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number45540
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: