Healthcare Provider Details

I. General information

NPI: 1235572306
Provider Name (Legal Business Name): ANDREW JAMES REDMANN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 CHICAGO AVE
MINNEAPOLIS MN
55404-4518
US

IV. Provider business mailing address

690 CEDAR VIEW CT
SAINT PAUL MN
55126-1942
US

V. Phone/Fax

Practice location:
  • Phone: 952-992-5623
  • Fax: 952-992-6917
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number57.022827
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number67048
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number3129
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: