Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 30710 | MN |
NPI | 1164424974 |
---|---|
Provider Name | Simon Milstein |
First Address | Saint Cloud, MN 56303-2735 |
Second Address | Saint Cloud, MN 56303-2735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 29/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
059K2MI | BLUE CROSS BLUE SHEILD (01) | |
06-26-2003 | MMSI (01) | |
100318 | U-CARE (01) | |
1012851 | PREFERRED ONE (01) | |
1733471 | FIRST HEALTH PLAN (01) | |
2501032 | MEDICA HEALTH PLANS (01) | |
25174 | ST CLOUD HOSPITAL (01) | |
338088200 | (05) | MN |
338088200 | MEDICAL ASSISTANCE (MA) (01) | |
A94864 | (02) | |
COMP | CHAMPUS (01) | |
COMP | ONE HEALTH PLANGREAT WEST (01) | |
HP13986 | HEALTH PARTNERS (01) |