Provider Demographics
NPI:1346358926
Name:REHMANN, RONALD E (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:E
Last Name:REHMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8891 AIRPORT RD B-2
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449
Mailing Address - Country:US
Mailing Address - Phone:763-253-4004
Mailing Address - Fax:763-432-4553
Practice Address - Street 1:8891 AIRPORT RD NE STE 2B
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55449-7247
Practice Address - Country:US
Practice Address - Phone:763-253-4004
Practice Address - Fax:763-432-4553
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN19424207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1029424OtherPREFERRED ONE
MN72D25REOtherBCBS OF MN
MN525810OtherAMERICA'S PPO
MN6603860OtherMEDICA URGENT CARE
MN0116284OtherMEDICA
MNHP17016OtherHEALTHPARTNERS
MN183077500Medicaid
MN4494044OtherAETNA INS
MN114031OtherUCARE MN
MN080150610Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MN080008097Medicare ID - Type UnspecifiedWPS MEDICARE
MN72D25REOtherBCBS OF MN