Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 26802 | MN |
NPI | 1023038981 |
---|---|
Provider Name | Michael Grant Somermeyer |
First Address | Brooklyn Center, MN 55430-2128 |
Second Address | Brooklyn Center, MN 55430-2128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 09/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100269C028 | UCARE (01) | MN |
16596SO | BLUE CROSS BLUE SHIELD MN (01) | MN |
30724300 | (05) | WI |
3127804 | MEDICA (01) | MN |
7734 | PREFERRED ONE (01) | MN |
810508100 | (05) | MN |
A93804 | (02) | |
HP14441 | HEALTHPARTNERS (01) | MN |
NP0202 | AMERICA'S PPO (01) | MN |