Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 42594 | MN |
N | 207VE0102X | Reproductive Endocrinologist | 42594 | MN |
NPI | 1598730756 |
---|---|
Provider Name | Juan C Angelats |
First Address | Edina, MN 55435 |
Second Address | Edina, MN 55435 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 11/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
073826300 | (05) | MN |
094M9AN | BCBS OF MN (01) | |
H62869 | (02) | |
HP35290 | HEALTH PARTNERS (01) | MN |