Mayrand, Robert

Mayrand, Robert is an individual health care provider with primary practice located at 1850 Beam Ave , Maplewood MN 55109-1162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mayrand, Robert can be contacted via phone (651) 241-9500.

Contact Information

Primary practice address
1850 Beam Ave Maplewood MN 55109-1162
Phone: (651) 241-9500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30687 Minnesota

Profile Details

NPI number 1912932351
LBN Legal business name Mayrand, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Dec 5th, 2011 - about 13 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 1912932351 NPPES
Minnesota MEDICAID 794788700

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