Blumenreich, Martin S
Blumenreich, Martin S is an individual health care provider with primary practice located at 560 S Maple St Suite 100, Waconia MN 55387-1733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Blumenreich, Martin S can be contacted via phone (952) 442-6606.Contact Information
Primary practice address
560 S Maple St Suite 100
Waconia MN 55387-1733
Phone: (952) 442-6606
Fax: (952) 442-6604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 38112 | Minnesota |
Profile Details
| NPI number | 1922076686 |
|---|---|
| LBN Legal business name | Blumenreich, Martin S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Nov 29th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922076686 | NPPES |
| Minnesota | Other | 3612394 | MEDICA |
| Minnesota | Other | 40B36BL | MEDICA |
| Minnesota | Other | 01020430 | MEDICA |
| Minnesota | Other | 115537 | MEDICA |
| Minnesota | Other | 844847 | MEDICA |
| Minnesota | Other | HP24193 | MEDICA |
| Minnesota | MEDICAID | 505875900 | MEDICA |
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