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NPI Code Detail

MEDICARE: DR. MILES J. BELGRADE MD

MEDICARE: DR. MILES J. BELGRADE 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
1208VP0000XPain Medicine Physician28902MN
22084N0400XNeurology Physician28902MN

General Provider Information

NPI Number : 1093788846
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MILES J. BELGRADE MD
Provider Business Mailing Address
First Line : 2450 RIVERSIDE AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-1450
Country : US
Telephone Number : 612-273-5400
Fax Number : 612-273-9945
Provider Business Practice Location Address
First Line : 2450 RIVERSIDE AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-1512
Country : US
Telephone Number : 612-672-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 02/05/2025

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