Basic Information
| Provider Information | |||||||||
| NPI: | 1205098464 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KUMMER | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | EMIL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 205 WABASHA ST S | ||||||||
| Address2: | DR. KUMMER, NEPHROLOGY | ||||||||
| City: | SAINT PAUL | ||||||||
| State: | MN | ||||||||
| PostalCode: | 551071805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6512938100 | ||||||||
| FaxNumber: | 6512938106 | ||||||||
| Practice Location | |||||||||
| Address1: | 205 WABASHA ST S | ||||||||
| Address2: | DR. KUMMER, NEPHROLOGY | ||||||||
| City: | SAINT PAUL | ||||||||
| State: | MN | ||||||||
| PostalCode: | 551071805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6512938100 | ||||||||
| FaxNumber: | 6512938106 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2008 | ||||||||
| LastUpdateDate: | 11/19/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | 54480 | MN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RN0300X | 54480 | MN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.