| Metropolitan Gastrointestinal Specialists | |
|
17322 91st Ave N Maple Grove MN 55311-5403 | |
| (612) 414-1033 | |
| (763) 416-4565 |
| Full Name | Metropolitan Gastrointestinal Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 17322 91st Ave N, Maple Grove, Minnesota |
| Authorized Official Name and Position | James Peter Kromhout (PRESIDENT) |
| Authorized Official Contact | 6124141033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Gastrointestinal Specialists 17322 91st Ave N Maple Grove MN 55311-5403 Ph: (612) 414-1033 | Metropolitan Gastrointestinal Specialists 17322 91st Ave N Maple Grove MN 55311-5403 Ph: (612) 414-1033 |
| NPI Number | 1467640482 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 10/04/2007 |
| Medicare PECOS PAC ID | 5092898585 |
|---|---|
| Medicare Enrollment ID | O20080206000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467640482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 22031 (Minnesota) | Primary |
| Provider Name | James P Kromhout |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720098932 PECOS PAC ID: 1052383007 Enrollment ID: I20040810000760 |
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