Gartner, Madeline Hallie

Gartner, Madeline Hallie is an individual health care provider with primary practice located at 15535 34Th Ave N , Plymouth MN 55447-1481. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Gartner, Madeline Hallie can be contacted via phone (763) 473-1480.

Contact Information

Primary practice address
15535 34Th Ave N Plymouth MN 55447-1481
Phone: (763) 473-1480
Fax: (763) 473-1480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33996 Minnesota

Profile Details

NPI number 1194763003
LBN Legal business name Gartner, Madeline Hallie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Feb 3rd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194763003 NPPES
Minnesota Other 86G05GA BLUECROSS
Minnesota Other HP13342 BLUECROSS
Minnesota Other 1701615 BLUECROSS
Minnesota Other 819471011592 BLUECROSS
Minnesota Other 131146 BLUECROSS
Minnesota MEDICAID 854807200 BLUECROSS

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