Provider Demographics
NPI:1679833826
Name:SINGLETON, RENA D
Entity Type:Individual
Prefix:
First Name:RENA
Middle Name:D
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE STREET SE, MMC 284
Mailing Address - Street 2:DEPT OF MEDICINE, OFFICE OF MEDICINE EDUCATION
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-625-5454
Mailing Address - Fax:612-625-3238
Practice Address - Street 1:500 HARVARD STREET
Practice Address - Street 2:UNIVERSITY OF MINNESOTA MEDICAL CENTER
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-624-8199
Practice Address - Fax:612-625-3238
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN59021207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine