Provider Demographics
NPI:1285705566
Name:DEVRIES, AARON (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:DEVRIES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:516 DELAWARE ST SE
Mailing Address - Street 2:MAYO MAIL CODE 88
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0356
Mailing Address - Country:US
Mailing Address - Phone:612-625-4680
Mailing Address - Fax:612-626-4374
Practice Address - Street 1:516 DELAWARE ST SE
Practice Address - Street 2:MAYO MAIL CODE 88
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0356
Practice Address - Country:US
Practice Address - Phone:612-625-4680
Practice Address - Fax:612-626-4374
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN43132207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNH30669Medicare UPIN