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NPI Code Detail

MEDICARE: INTERMED CONSULTANTS,LTD.

MEDICARE: INTERMED CONSULTANTS,LTD.
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
1207RI0200XInfectious Disease Physician
2207RN0300XNephrology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CE0723OTHERMNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
333Q83INOTHERMNBLUE CROSS BLUE SHIELD
452581OTHERMNHEALTHPARTNERS

General Provider Information

NPI Number : 1962596221
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERMED CONSULTANTS,LTD.
Provider Business Mailing Address
First Line : 6363 FRANCE AVE S
Second Line : SUITE 400
City : EDINA
State : MN
Zip : 55435-2129
Country : US
Telephone Number : 952-920-2070
Fax Number : 952-920-7444
Provider Business Practice Location Address
First Line : 6600 FRANCE AVE S STE 162
Second Line :
City : EDINA
State : MN
Zip : 55435-1802
Country : US
Telephone Number : 952-920-2070
Fax Number : 952-920-7444
Authorized Official
Title or Position : PRESIDENT
Name : DR. DAVID L BOWLIN
Credential : M.D.
Telephone Number : 952-920-2070
Provider Enumeration Date : 10/03/2006
Last Update Date : 03/10/2023

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Directions to “INTERMED CONSULTANTS,LTD. ” Practice Location

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