Vercellotti, Gregory M

Vercellotti, Gregory M is an individual health care provider with primary practice located at 424 Harvard Street Se Masonic Cancer Center, First Floor, Suite M100, Minneapolis MN 55455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Vercellotti, Gregory M can be contacted via phone (612) 625-5411.

Contact Information

Primary practice address
424 Harvard Street Se Masonic Cancer Center, First Floor, Suite M100 Minneapolis MN 55455
Phone: (612) 625-5411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25121 Minnesota
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 25121 Minnesota

Profile Details

NPI number 1912008921
LBN Legal business name Vercellotti, Gregory M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Dec 1st, 2014 - about 11 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 1912008921 NPPES
Minnesota Other HP22082 HEALTHPARTNERS
Minnesota Other 100794 HEALTHPARTNERS
Minnesota Other 3624552 HEALTHPARTNERS
Minnesota MEDICAID 927205400 HEALTHPARTNERS
Minnesota Other 090100 HEALTHPARTNERS
Minnesota Other 3674562 HEALTHPARTNERS
Minnesota Other 2T188VE HEALTHPARTNERS
Minnesota Other 525815 HEALTHPARTNERS
Minnesota Other 1009342 HEALTHPARTNERS

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