Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 63387 | MN |
Y | 2080P0203X | Pediatric Critical Care Doctor | 63387 | MN |
N | 2080P0208X | Pediatric Infectious Diseases | 63387 | MN |
NPI | 1134411093 |
---|---|
Provider Name | Dr. Emily Ruth Levy |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2011 |
Last Update Date | 25/08/2020 |