Basic Information
| Provider Information | |||||||||
| NPI: | 1750314548 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REGELMANN | ||||||||
| FirstName: | WARREN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 420 DELAWARE STREET SE, MMC 742 | ||||||||
| Address2: | UNIVERSITY OF MINNESOTA PHYSICIANS | ||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6126262916 | ||||||||
| FaxNumber: | 6126260413 | ||||||||
| Practice Location | |||||||||
| Address1: | 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100 | ||||||||
| Address2: | UNIVERSITY OF MINNESOTA PHYSICIANS | ||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6126266777 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2006 | ||||||||
| LastUpdateDate: | 05/16/2012 | ||||||||
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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 | 208000000X | 21282 | MN | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0214X | 21282 | MN | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Pulmonology |
ID Information
| ID | Type | State | Issuer | Description | 7777470 | 05 | SD | MEDICAID | 10387 | 05 | ND | MEDICAID | 30277800 | 05 | WI | MEDICAID | 525820 | 01 | MN | ARAZ | OTHER | 12-70260 | 01 | MN | MEDICA PRIMARY | OTHER | 48-00433 | 01 | MN | RIDGES PEDS MEDICA PRIMAR | OTHER | 0243552 | 05 | OH | MEDICAID | 1009287 | 01 | MN | PREFERRED ONE | OTHER | 750265600 | 05 | MN | MEDICAID | 100991 | 01 | MN | UCARE | OTHER | 2T313RE | 01 | MN | BCBS | OTHER | HP22060 | 01 | MN | HEALTHPARTNERS | OTHER | 0055114 | 05 | MT | MEDICAID | 0500884 | 05 | IA | MEDICAID | 48-00200 | 01 | MN | MEDICA CHOICE | OTHER | 48-00481 | 01 | MN | RIDGES PEDS MEDICA CHOICE | OTHER |