Provider Demographics
NPI:1104853985
Name:CERRA, FRANK BERNARD (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:BERNARD
Last Name:CERRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - Street 2:420 DELAWARE STREET SE, MMC 501
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-625-1400
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address - Street 2:516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1E
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-626-6666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN26370208600000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgery
Not Answered2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2T089CEOtherBCBS
IA1979294Medicaid
SD7762290Medicaid
MNHP22149OtherHEALTHPARTNERS
MN101551OtherUCARE
MN17-70121OtherMEDICA PRIMARY
WI30405000Medicaid
MN1009066OtherPREFERRED ONE
MN17-22581OtherMEDICA CHOICE
MN768052OtherARAZ
ND10757Medicare ID - Type UnspecifiedND MA
IA1979294Medicaid