Active NPI 1891754693 Individual Practitioner Male Practitioner

Dr. Jimmy Ching , MD

Internal Medicine • Buffalo, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jimmy Ching, MD is a certified Internal Medicine practicing in Buffalo, MN. With approximately 33 years of clinical experience since graduating from University Of Chicago, Pritzker School Of Medicine in 1993, Dr. Ching delivers high-quality medical care to the local community at 303 CATLIN ST.

Dr. Ching is affiliated with Allina Health System and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

303 Catlin St

Buffalo, MN 553131947

Telephone 7636825225

Associated Practice Facility / Clinic

🏢 Allina Health System Facility NPI 1538123567

Medicare Profile & Education

Medical School

University Of Chicago, Pritzker School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Buffalo, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs -3.2 yrs vs City Avg

City Avg: 36.2 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Buffalo, MN (2726 Statewide)

Telehealth Adoption Rate

42.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

72.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ching (33 Years) 33 Yrs

Buffalo Specialty Average (36.2 Years) 36.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	83	$408.50	$124.28
36415 Insertion of needle into vein for collection of blood sample	100	73	$17.00	$8.65
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	91	49	$62.60	$15.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$413.90	$125.78
83036 Hemoglobin A1C level	36	30	$45.20	$9.52
80048 Blood test, basic group of blood chemicals (calcium, total)	35	33	$39.90	$8.29
80061 Blood test, lipids (cholesterol and triglycerides)	30	29	$63.00	$13.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	20	$572.40	$174.28
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	25	23	$36.80	$7.61
99495 Transitional care management services for problem of at least moderate complexity	21	16	$774.60	$201.32
80053 Blood test, comprehensive group of blood chemicals	20	20	$49.40	$10.35
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$288.90	$87.99
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	18	16	$29.40	$6.34
84443 Blood test, thyroid stimulating hormone (TSH)	16	16	$78.80	$16.46
82043 Urine microalbumin (protein) level	14	13	$27.30	$5.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	285	162	$17.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	91	$394.40	$122.91
80048 Blood test, basic group of blood chemicals (calcium, total)	87	74	$39.90	$8.19
83036 Hemoglobin A1C level	72	49	$45.20	$9.52
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	63	50	$36.80	$7.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$402.80	$125.97
85610 Blood test, clotting time	49	12	$20.00	$4.20
80053 Blood test, comprehensive group of blood chemicals	48	40	$49.40	$10.35
80061 Blood test, lipids (cholesterol and triglycerides)	44	42	$63.00	$13.12
84443 Blood test, thyroid stimulating hormone (TSH)	42	33	$78.80	$16.46
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$279.70	$84.44
84439 Thyroxine (thyroid chemical), free	30	21	$42.00	$8.84
82043 Urine microalbumin (protein) level	22	20	$27.30	$5.66
85018 Blood count, hemoglobin	19	15	$11.60	$2.20
86140 Measurement C-reactive protein for detection of infection or inflammation	16	15	$24.20	$5.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	12	$556.30	$174.21
82565 Blood creatinine level	16	16	$24.20	$5.02
82728 Ferritin (blood protein) level	16	15	$64.10	$13.36
81001 Manual urinalysis test with examination using microscope, automated	16	13	$14.70	$3.11
G0103 Prostate cancer screening; prostate specific antigen test (psa)	16	16	$86.10	$18.92
G0008 Administration of influenza virus vaccine	14	14	$27.30	$26.75
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	14	14	$29.40	$6.34
87086 Bacterial colony count, urine	14	11	$37.80	$7.91
84132 Blood potassium level	13	12	$22.10	$4.66
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	12	12	$54.62	$53.52
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$62.00	$14.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	326	199	$17.00	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	101	$378.70	$123.76
80048 Blood test, basic group of blood chemicals (calcium, total)	105	92	$38.00	$8.35
80061 Blood test, lipids (cholesterol and triglycerides)	79	74	$60.00	$13.21
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	74	74	$229.60	$73.94
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	74	74	$25.00	$24.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	70	55	$35.00	$7.55
83036 Hemoglobin A1C level	68	50	$43.00	$9.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	62	62	$387.70	$129.33
80053 Blood test, comprehensive group of blood chemicals	53	38	$47.00	$10.41
85610 Blood test, clotting time	52	17	$19.00	$4.24
84443 Blood test, thyroid stimulating hormone (TSH)	45	41	$75.00	$16.58
G0008 Administration of influenza virus vaccine	33	33	$26.97	$26.45
99213 Established patient office or other outpatient visit, typically 15 minutes	31	26	$266.40	$87.04
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	30	30	$51.00	$49.98
85018 Blood count, hemoglobin	28	23	$11.00	$2.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	22	$529.80	$173.82
84132 Blood potassium level	25	16	$21.00	$4.71
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	23	19	$28.00	$6.38
81001 Manual urinalysis test with examination using microscope, automated	23	18	$14.00	$3.13
0124A Fee covid-19 vac 13 res	22	22	$100.00	$38.89
82565 Blood creatinine level	21	20	$23.00	$5.04
82607 Cyanocobalamin (vitamin B-12) level	20	20	$67.00	$14.91
83735 Magnesium level	20	11	$29.00	$6.59
G0103 Prostate cancer screening; prostate specific antigen test (psa)	19	19	$82.00	$19.04
87086 Bacterial colony count, urine	19	14	$36.00	$7.94
84439 Thyroxine (thyroid chemical), free	18	16	$40.00	$8.89
82306 Vitamin d-3 level	18	16	$131.00	$29.22
83880 Natriuretic peptide (heart and blood vessel protein) level	17	16	$151.00	$38.66
82043 Urine microalbumin (protein) level	16	16	$26.00	$5.74
82728 Ferritin (blood protein) level	16	15	$61.00	$13.45
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	12	12	$158.10	$50.92
83970 Parathormone (parathyroid hormone) level	12	11	$184.00	$40.76
99495 Transitional care management services for problem of at least moderate complexity	11	11	$722.50	$203.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	309	174	$17.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	110	$304.00	$128.64
93793 Anticoagulant management of patient taking warfarin	129	12	$39.00	$11.35
80048 Blood test, basic group of blood chemicals (calcium, total)	97	84	$38.00	$8.37
85610 Blood test, clotting time	92	20	$19.00	$4.29
80061 Blood test, lipids (cholesterol and triglycerides)	88	83	$60.00	$13.35
83036 Hemoglobin A1C level	81	59	$43.00	$9.71
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	57	48	$35.00	$7.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$323.00	$131.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	41	$409.00	$177.31
84443 Blood test, thyroid stimulating hormone (TSH)	45	36	$75.00	$16.80
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	34	15	$157.00	$55.35
80053 Blood test, comprehensive group of blood chemicals	33	26	$47.00	$10.56
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	30	29	$224.83	$51.31
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$210.00	$90.78
84439 Thyroxine (thyroid chemical), free	25	17	$40.00	$9.02
86140 Measurement C-reactive protein for detection of infection or inflammation	23	20	$23.00	$5.18
84460 Liver enzyme (sgpt), level	22	22	$24.00	$5.30
G0008 Administration of influenza virus vaccine	22	22	$26.00	$17.00
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	22	22	$28.00	$6.47
82607 Cyanocobalamin (vitamin B-12) level	22	21	$67.00	$15.08
93000 Routine ekg using at least 12 leads including interpretation and report	19	17	$59.00	$14.66
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	18	18	$229.60	$75.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	18	18	$25.00	$25.00
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	17	17	$47.88	$47.88
84132 Blood potassium level	16	14	$21.00	$4.76
85652 Red blood cell sedimentation rate, to detect inflammation, automated	16	16	$12.00	$2.70
G0103 Prostate cancer screening; prostate specific antigen test (psa)	16	16	$82.00	$19.31
82565 Blood creatinine level	15	15	$23.00	$5.12
81001 Manual urinalysis test with examination using microscope, automated	15	13	$14.00	$3.17
82306 Vitamin d-3 level	15	14	$131.00	$29.60
83880 Natriuretic peptide (heart and blood vessel protein) level	14	14	$151.00	$39.26
82043 Urine microalbumin (protein) level	14	13	$26.00	$5.78
85018 Blood count, hemoglobin	13	13	$11.00	$2.37
82728 Ferritin (blood protein) level	13	12	$61.00	$13.63
84450 Liver enzyme (sgot), level	11	11	$23.00	$5.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	252	149	$17.00	$2.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	93	$304.00	$106.85
93793 Anticoagulant management of patient taking warfarin	154	16	$40.00	$11.70
85610 Blood test, clotting time	107	22	$18.00	$4.26
80048 Blood test, basic group of blood chemicals (calcium, total)	88	69	$36.00	$8.42
80061 Blood test, lipids (cholesterol and triglycerides)	70	65	$57.00	$13.34
83036 Hemoglobin A1C level	67	47	$41.00	$9.66
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	57	24	$156.00	$55.88
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	53	41	$33.00	$7.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$326.00	$115.39
84443 Blood test, thyroid stimulating hormone (TSH)	38	36	$71.00	$16.75
82607 Cyanocobalamin (vitamin B-12) level	34	31	$64.00	$15.01
99213 Established patient office or other outpatient visit, typically 15 minutes	31	24	$208.00	$72.90
80053 Blood test, comprehensive group of blood chemicals	27	26	$45.00	$10.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	21	$408.00	$145.20
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	26	26	$27.00	$6.44
G0008 Administration of influenza virus vaccine	25	25	$26.00	$16.81
82043 Urine microalbumin (protein) level	22	22	$25.00	$5.76
84439 Thyroxine (thyroid chemical), free	21	19	$38.00	$8.99
82728 Ferritin (blood protein) level	20	18	$58.00	$13.55
84132 Blood potassium level	18	14	$20.00	$4.72
85018 Blood count, hemoglobin	18	16	$10.00	$2.35
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	18	18	$46.00	$46.00
99442 Telephone medical discussion with physician, 11-20 minutes	15	12	$208.00	$74.67
99495 Transitional care management services for problem of at least moderate complexity	14	13	$547.00	$184.97
86140 Measurement C-reactive protein for detection of infection or inflammation	14	13	$22.00	$5.17
G0103 Prostate cancer screening; prostate specific antigen test (psa)	14	14	$78.00	$19.17
87086 Bacterial colony count, urine	13	11	$34.00	$8.00
83540 Iron level	12	12	$27.00	$6.44
83550 Iron binding capacity	12	12	$37.00	$8.70
80076 Liver function blood test panel	12	11	$34.00	$8.14
82306 Vitamin d-3 level	11	11	$125.00	$29.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	326	191	$17.00	$2.93
93793 Anticoagulant management of patient taking warfarin	218	40	$39.00	$11.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	104	$293.00	$106.21
85610 Blood test, clotting time	155	41	$17.00	$4.28
80048 Blood test, basic group of blood chemicals (calcium, total)	89	81	$35.00	$9.11
83036 Hemoglobin A1C level	75	41	$40.00	$10.57
80061 Blood test, lipids (cholesterol and triglycerides)	69	68	$55.00	$14.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	67	67	$319.00	$114.24
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	56	20	$151.00	$54.76
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	40	32	$32.00	$8.46
84443 Blood test, thyroid stimulating hormone (TSH)	39	39	$69.00	$18.30
G0008 Administration of influenza virus vaccine	35	35	$26.00	$16.48
82607 Cyanocobalamin (vitamin B-12) level	35	31	$62.00	$16.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	24	$396.00	$139.18
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	29	29	$26.00	$6.80
90653 Vaccine for influenza for injection into muscle	26	26	$43.77	$42.89
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$199.00	$73.09
80053 Blood test, comprehensive group of blood chemicals	23	22	$43.00	$11.51
84450 Liver enzyme (sgot), level	20	19	$21.00	$5.63
99495 Transitional care management services for problem of at least moderate complexity	19	18	$534.00	$161.83
84439 Thyroxine (thyroid chemical), free	18	17	$37.00	$9.82
93000 Routine ekg using at least 12 leads including interpretation and report	17	13	$57.00	$16.68
85018 Blood count, hemoglobin	15	14	$10.00	$2.58
84460 Liver enzyme (sgpt), level	15	14	$22.00	$5.77
G0103 Prostate cancer screening; prostate specific antigen test (psa)	14	14	$75.00	$20.03
83880 Natriuretic peptide (heart and blood vessel protein) level	14	11	$139.00	$38.47
82728 Ferritin (blood protein) level	13	13	$56.00	$14.85
81001 Manual urinalysis test with examination using microscope, automated	11	11	$13.00	$3.45
82043 Urine microalbumin (protein) level	11	11	$24.00	$6.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	252	113	$17.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	73	$275.00	$106.24
93793 Anticoagulant management of patient taking warfarin	99	36	$38.00	$11.88
83036 Hemoglobin A1C level	59	32	$40.00	$11.75
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	52	22	$150.00	$52.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	27	$373.00	$137.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	39	15	$51.00	$21.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$284.00	$115.19
G0008 Administration of influenza virus vaccine	30	27	$26.00	$20.39
99213 Established patient office or other outpatient visit, typically 15 minutes	24	19	$186.00	$72.18
90653 Vaccine for influenza for injection into muscle	19	18	$40.84	$40.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	237	116	$17.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	86	$275.00	$105.78
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	118	32	$51.00	$20.17
85610 Blood test, clotting time	91	12	$16.00	$5.28
83036 Hemoglobin A1C level	75	38	$40.00	$13.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	39	$373.00	$141.76
G0008 Administration of influenza virus vaccine	54	53	$26.00	$25.39
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	47	14	$150.00	$52.57
99213 Established patient office or other outpatient visit, typically 15 minutes	44	35	$186.00	$71.85
90653 Vaccine for influenza for injection into muscle	36	36	$38.00	$37.24
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	33	27	$26.00	$8.69
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	30	20	$32.00	$10.45
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	18	$21.00	$18.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$284.00	$113.98
93000 Routine ekg using at least 12 leads including interpretation and report	17	13	$43.00	$16.67

Medical Specialties & State Licenses

CMS Verified: 2021-04-05

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MN 37608

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Allina Health System

440 Elm St E, Annandale, MN 553021109

Phone: 3206825225

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners

Erika Schilla

Audiologist

NPI 1003472010

Erin Nelson , NP-C

Nurse Practitioner - Family

NPI 1053750422

Nurse Practitioner (Certified)

Matthew Donovan

Physician Assistant

NPI 1063100907

Grant Mcfadden , PA-C, MPAS

Physician Assistant

NPI 1124331533

Physician Assistant (Certified), MPAS

Dr. Asitha Dias , MD

Family Medicine

NPI 1205043155

Doctor of Medicine (M.D.)

Erica Creighton , LICSW

Social Worker - Clinical

NPI 1275058273

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 19, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 19, 2011

Registered at 303 CATLIN ST, BUFFALO, MN 553131947 (Tel: 7636825225)

📍

Updated Business Mailing Address October 19, 2011

Registered at PO BOX 43, MR 10809, MINNEAPOLIS, MN 554400043 (Tel: 6122624813)

👤

Provider Name / Credentials Updated October 19, 2011

Recorded as JIMMY CHING, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2011

Internal Medicine (License #37608 in MN)

🟢

Initial NPI Registration & Enumeration March 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891754693

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 21, 2006

Last Update: April 05, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 43, Mr 10809

Minneapolis, MN 554400043

Phone: 6122624813

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.