Somermeyer, Michael Grant

Somermeyer, Michael Grant is an individual health care provider with primary practice located at 6200 Shingle Creek Pkwy Suite 250, Brooklyn Center MN 55430-2128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Somermeyer, Michael Grant can be contacted via phone (763) 544-0696.

Contact Information

Primary practice address
6200 Shingle Creek Pkwy Suite 250 Brooklyn Center MN 55430-2128
Phone: (763) 544-0696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 26802 Minnesota

Profile Details

NPI number 1023038981
LBN Legal business name Somermeyer, Michael Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Nov 9th, 2020 - about 5 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 1023038981 NPPES
Wisconsin MEDICAID 30724300
Wisconsin Other NP0202
Wisconsin Other 16596SO
Wisconsin Other 7734
Wisconsin Other 3127804
Wisconsin MEDICAID 810508100
Wisconsin Other 100269C028
Wisconsin Other HP14441

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