Healthcare Provider Details
I. General information
NPI: 1730346461
Provider Name (Legal Business Name): AVRAHOM AHARON GURWITZ MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/20/2008
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2250 NW 26TH ST
OWATONNA MN
55060-5503
US
IV. Provider business mailing address
2925 CHICAGO AVE
MINNEAPOLIS MN
55407-1321
US
V. Phone/Fax
- Phone: 507-451-3850
- Fax: 507-977-2224
- Phone: 612-262-9000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 01097805A |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | MD441887 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | MD441887 |
| License Number State | PA |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 81368 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: