Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 028426 | MN |
NPI | 1073624821 |
---|---|
Provider Name | Margaret Rice |
First Address | Minneapolis, MN 55419-5403 |
Second Address | Minneapolis, MN 55419-5403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F94356 | (02) | MN |