Provider Demographics
NPI:1225091754
Name:LETTS, JAMES P (MD)
Entity Type:Individual
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First Name:JAMES
Middle Name:P
Last Name:LETTS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1983 SLOAN PL
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-2087
Mailing Address - Country:US
Mailing Address - Phone:651-326-5700
Mailing Address - Fax:651-326-5715
Practice Address - Street 1:1983 SLOAN PL
Practice Address - Street 2:SUITE 1
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-2087
Practice Address - Country:US
Practice Address - Phone:651-326-5700
Practice Address - Fax:651-326-5715
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MN45032207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNH75950Medicare UPIN