Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | R0983525 | MN |
NPI | 1023012051 |
---|---|
Provider Name | Ann M Rechtzigel |
First Address | Minneapolis, MN 55407-1320 |
Second Address | Minneapolis, MN 55407-1320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2005 |
Last Update Date | 21/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
147277100 | (05) | MN |
P41164 | (02) | MN |