DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ELLEN B. REST M.D.

MEDICARE: ELLEN B. REST 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
1174400000XSpecialist34663MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477598985
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN B. REST M.D.
Provider Business Mailing Address
First Line : 7205 UNIVERSITY AVE NE
Second Line :
City : FRIDLEY
State : MN
Zip : 55432-3134
Country : US
Telephone Number : 763-571-4000
Fax Number : 763-571-7202
Provider Business Practice Location Address
First Line : 7205 UNIVERSITY AVE NE
Second Line :
City : FRIDLEY
State : MN
Zip : 55432-3134
Country : US
Telephone Number : 763-571-4000
Fax Number : 763-571-7202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 11/04/2013

Similar Medicare Providers

1457210619 — AYUB ALI FARAH
Practice Location Address:
7205 UNIVERSITY AVE NE
FRIDLEY, MN
55432-3134
Practice Phone: 612-208-0729
Practice Fax: 612-354-3801
1134108772 — ROGER H WEENIG M.D.
Practice Location Address:
7205 UNIVERSITY AVE NE
FRIDLEY, MN
55432-3134
Practice Phone: 763-571-4000
Practice Fax: 763-571-4000
1619910890 — JANE H LISKO M.D.
Practice Location Address:
7205 UNIVERSITY AVE NE
FRIDLEY, MN
55432-3134
Practice Phone: 763-571-4000
Practice Fax: 763-571-7202
1417991787 — SOHEIL Y. PAKZAD M.D.
Practice Location Address:
7205 UNIVERSITY AVE NE
FRIDLEY, MN
55432-3134
Practice Phone: 763-571-4000
Practice Fax: 763-571-7202
1679519094 — SUSAN M HUMPHREYS M.S.
Practice Location Address:
7205 UNIVERSITY AVE NE
FRIDLEY, MN
55432-3134
Practice Phone: 763-571-4000
Practice Fax: 763-571-7202
1619913043 — ANN F.H. MCGINN M.D.
Practice Location Address:
7205 UNIVERSITY AVE NE
FRIDLEY, MN
55432-3134
Practice Phone: 763-571-4000
Practice Fax: 763-571-7202

Directions to “ ELLEN B. REST M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.