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NPI Code Detail

MEDICARE: DR. TODD SEELHAMMER M.D.

MEDICARE: DR. TODD SEELHAMMER M.D.
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
1207N00000XDermatology Physician54255MN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2070001054OTHERMNMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100030001090OTHERMNMEDICA
30FE47SEOTHERMNBLUECROSS BLUE SHIELD PROVIDER ID

General Provider Information

NPI Number : 1376778613
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TODD SEELHAMMER M.D.
Provider Business Mailing Address
First Line : 60 PLATO BLVD E
Second Line : SUITE 270
City : SAINT PAUL
State : MN
Zip : 55107-1827
Country : US
Telephone Number : 651-209-1600
Fax Number :
Provider Business Practice Location Address
First Line : 280 SNELLING AVE N
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-5330
Country : US
Telephone Number : 651-645-3628
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2009
Last Update Date : 09/20/2013

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Directions to “ DR. TODD SEELHAMMER M.D.” Practice Location

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