Wavrin, Russell L

Wavrin, Russell L is an individual health care provider with primary practice located at 6545 France Ave S Ste 540, Edina MN 55435-2131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Wavrin, Russell L can be contacted via phone (952) 927-4045.

Contact Information

Primary practice address
6545 France Ave S Ste 540 Edina MN 55435-2131
Phone: (952) 927-4045
Fax: (952) 924-4133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 244196 Minnesota
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 244196 Minnesota

Profile Details

NPI number 1962479071
LBN Legal business name Wavrin, Russell L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Apr 4th, 2016 - about 8 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 1962479071 NPPES
Minnesota Other 18559WA BCBS
Minnesota Other HP14652 BCBS
Minnesota MEDICAID 055302600 BCBS

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