Simon, Gwendolyn Blechert

Simon, Gwendolyn Blechert is an individual health care provider with primary practice located at 8450 Seasons Pkwy Mail Stop 32900A, Woodbury MN 55125-4402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Simon, Gwendolyn Blechert can be contacted via phone (651) 702-5300.

Contact Information

Primary practice address
8450 Seasons Pkwy Mail Stop 32900A Woodbury MN 55125-4402
Phone: (651) 702-5300
Fax: (651) 702-5305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43448 Minnesota

Profile Details

NPI number 1346212495
LBN Legal business name Simon, Gwendolyn Blechert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Oct 14th, 2020 - about 4 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 1346212495 NPPES
Minnesota MEDICAID 938166000

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