Basic Information
Provider Information
NPI: 1730223983
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MERID
FirstName: RUTH
MiddleName: N
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8170 33RD AVE S
Address2: MS21110Q
City: MINNEAPOLIS
State: MN
PostalCode: 554254516
CountryCode: US
TelephoneNumber: 9528835375
FaxNumber: 6512938106
Practice Location
Address1: 205 S WABASHA ST - MAIL STOP 31300A
Address2: HEALTHPARTNERS ST. PAUL CLINIC
City: ST. PAUL
State: MN
PostalCode: 551071805
CountryCode: US
TelephoneNumber: 6512938100
FaxNumber: 6512938106
Other Information
ProviderEnumerationDate: 02/19/2007
LastUpdateDate: 12/07/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XP17500MDY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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