Glenn A Nickele in Minneapolis - Cardiovascular Disease
Glenn A Nickele - NPI 1093781452
Glenn A Nickele is a Cardiovascular Disease in Minneapolis, Minnesota. Glenn A Nickele practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Glenn A Nickele is 1093781452. The last update date is 2019-08-28.
Glenn A Nickele's current location address is 8170 33rd Ave S # Ms 21110q, Minneapolis, Minnesota. You can contact this provider via phone number 6512545175. The mailing address for Glenn A Nickele is 8170 33rd Ave S # Ms 21110q, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn A Nickele |
|---|---|
| Address | 8170 33rd Ave S # Ms 21110q, Minneapolis, Minnesota |
| Phone Number | 6512545175 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093781452 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2019-08-28 |
Provider Mailing Address Detail
| Address | 8170 33rd Ave S # Ms 21110q |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554254516 |
| Phone Number | 6512545175 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 32220 |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 468980100 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Glenn A Nickele by the Centers for Medicare & Medicaid Services?
The Glenn A Nickele has been issued the NPI (National Provider Identifier) 1093781452, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Glenn A Nickele is geographically located?
The Glenn A Nickele is physically situated at the following location: 8170 33Rd Ave S # Ms 21110Q, Minneapolis, MN, 554254516.
What is Glenn A Nickele's specialized field of practice, and what is the corresponding taxonomy classification code?
The Glenn A Nickele's area of specialization is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0000X.
On what date was the 1093781452 assigned to Glenn A Nickele?
The Glenn A Nickele was issued its 1093781452 on 2006-02-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Glenn A Nickele's information last updated?
The Glenn A Nickele's information was last updated on 2019-08-28.