Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | 43065 | MN |
NPI | 1518931799 |
---|---|
Provider Name | Dr. Julie A Switzer |
First Address | Minneapolis, MN 55425-4516 |
Second Address | St. Paul, MN 55130-5302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 14/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
108453400 | (05) | MN |
H07435 | (02) | MN |