Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 36467 | MN |
NPI | 1235218793 |
---|---|
Provider Name | Dr. Gregory J Beilman |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0500868 | (05) | IA |
1007263 | PREFERRED ONE (01) | |
109295 | UCARE (01) | |
17-00026 | MEDICA - PRIMARY (01) | |
17-00075 | MEDICA - CHOICE (01) | |
32069800 | (05) | WI |
768015 | ARAZ (01) | |
8D484BE | BLUE CROSS BLUE SHIELD (01) | |
992727100 | (05) | MN |
F87205 | (02) | |
HP22130 | HEALTHPARTNERS (01) |