Greg C Randall in Bloomington - Family Medicine
Greg C Randall - NPI 1255333662
Greg C Randall is a Family Medicine in Bloomington, Minnesota. Greg C Randall practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Greg C Randall is 1255333662. The last update date is 2021-03-10.
Greg C Randall's current location address is 7801 E Bush Lake Rd, Bloomington, Minnesota. You can contact this provider via phone number 9529858911 and fax number 9529858999. The mailing address for Greg C Randall is 7801 E Bush Lake Rd, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Greg C Randall |
|---|---|
| Address | 7801 E Bush Lake Rd, Bloomington, Minnesota |
| Phone Number | 9529858911 |
| Fax Number | 9529858999 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1255333662 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2021-03-10 |
Provider Mailing Address Detail
| Address | 7801 E Bush Lake Rd |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554393120 |
| Phone Number | 9529858911 |
| Fax Number | 9529858999 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 28794 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 351278900 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Greg C Randall by the Centers for Medicare & Medicaid Services?
The Greg C Randall has been issued the NPI (National Provider Identifier) 1255333662, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Greg C Randall is physically located?
The Greg C Randall is situated at the following address: 7801 E Bush Lake Rd, Bloomington, MN 554393120.
What is Greg C Randall's area of expertise and its corresponding taxonomy classification?
The Greg C Randall's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1255333662 to Greg C Randall?
The Centers for Medicare & Medicaid Services assigned the 1255333662 to Greg C Randall on 2005-08-15.
When was the Greg C Randall's information last updated?
The Greg C Randall's information was last updated on 2021-03-10.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY