DR. FELIX CRISTOBAL BLANCO (NPI# 1225385891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225385891 |
Entity Type | Individual |
Full Name | DR. FELIX CRISTOBAL BLANCO |
Credential | MD |
Practice Address |
10 Fourth Ave Se Glenwood MN 56334-1820 |
Mailing Address |
10 4th Seave Glenwood MN 56334 |
Practice Telephone | 3206342276 |
Practice Fax Number | 3206342244 |
Mailing Telephone | 3206342276 |
Mailing Fax Number | 3206342244 |
Enumeration Date | 2012-08-13 |
Last Update Date | 2015-09-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 55562 | MN | Allopathic & Osteopathic Physicians |
N | 282N00000X | General Acute Care Hospital | MD038224 | DC | Hospitals |
Street Address |
10 FOURTH AVE SE |
City | GLENWOOD |
State | MN |
Zip Code | 56334-1820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306206446 | Glacial Ridge Hospital District | Optometrist | 16 West Minnesota Avenue, Suite 102, Glenwood, MN 56334 | 2016-03-02 |
1922320142 | Michael David Flaten | Marriage & Family Therapist | 100 17th Ave Nw, Suite #2 Lakeland Mental Health Center, Glenwood, MN 56334 | 2010-02-16 |
1427107721 | G E Maher Ltd | Dentist | 101 First Avenue Sw, Glenwood, MN 56334 | 2007-01-09 |
1740340256 | Jeremy Myrom | Dentist | 1616 N Franklin St, Glenwood, MN 56334 | 2006-12-12 |
1144380627 | Scott William Ringdahl | Dentist | 1616 N Franklin Str, Glenwood, MN 56334 | 2006-12-12 |
1487802021 | Elizabeth Ziemba Colsen | Surgery | 10 4th Ave Se, Glenwood, MN 56334 | 2008-09-08 |
1427210533 | David Edward Polzin | Family Medicine | 10 4th Ave Se, Glenwood, MN 56334 | 2008-06-30 |
1225258247 | Dental Health Services Minnewaska Pllc | Dentist | 1616 N Franklin Str, Glenwood, MN 56334 | 2007-05-01 |
1194968750 | Gerald Edward Maher | Dentist | 101 First Ave Sw, Glenwood, MN 56334-0174 | 2009-04-13 |
1548444243 | Jean Marie Mcdermott | Case Manager/Care Coordinator | 102 1st St Ne, #2, Glenwood, MN 56334-1201 | 2007-12-18 |
Find all providers in zip 56334 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1528028545 | Bang Tu Nguyen | General Practice | 711 South Vine Street, Glenwood, IA 51534-1927 | 2006-03-24 |
1245335256 | Timothy James Morgan | General Practice | 711 S Vine St, Glenwood, IA 51534-1927 | 2006-09-14 |
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1447654678 | Chs Tennessee Medical, P.C. | General Practice | 610 Opperman Dr, Thomson Reuters Campus, Eagan, MN 55123-1340 | 2014-10-17 |
1922422989 | Roger J. Day | General Practice | 9701 Xebec St Ne, Circle Pines, MN 55014-2508 | 2014-02-12 |
1760724827 | Ahmednur Abdirahman | General Practice | 10750 Brunswick Rd Apt 111, Bloomington, MN 55438-1860 | 2013-03-26 |
1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.