Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125-056-950 | IL |
N | 111NI0900X | Internist | 125-056-950 | IL |
Y | 207RR0500X | Rheumatology | 109032 | MN |
NPI | 1124338496 |
---|---|
Provider Name | Anna Shmagel |
First Address | Minneapolis, MN 55455-0341 |
Second Address | Minneapolis, MN 55455-0341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2010 |
Last Update Date | 17/08/2016 |