Guimaraes, Antonio Michael

Guimaraes, Antonio Michael is an individual health care provider with primary practice located at 425 7Th St Nw , Cass Lake MN 56633-3360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Guimaraes, Antonio Michael can be contacted via phone (218) 335-3200.

Contact Information

Primary practice address
425 7Th St Nw Cass Lake MN 56633-3360
Phone: (218) 335-3200
Fax: (218) 335-3227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39051 Minnesota

Profile Details

NPI number 1679529366
LBN Legal business name Guimaraes, Antonio Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jun 7th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679529366 NPPES
Minnesota MEDICAID 960520700

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