Provider Demographics
NPI:1497373559
Name:KUIJPERS, MARCELA VIVIANA (MD)
Entity Type:Individual
Prefix:
First Name:MARCELA
Middle Name:VIVIANA
Last Name:KUIJPERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 PARK AVENUE SOUTH
Mailing Address - Street 2:GRADUATE MEDICAL EDUCATION/ INTERNAL MEDICINE
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415
Mailing Address - Country:US
Mailing Address - Phone:772-321-8461
Mailing Address - Fax:
Practice Address - Street 1:701 PARK AVENUE SOUTH
Practice Address - Street 2:GME INTERNAL MEDICINE
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1643
Practice Address - Country:US
Practice Address - Phone:612-873-8722
Practice Address - Fax:612-904-4263
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program