Provider Demographics
NPI:1245208487
Name:SPERL-HILLEN, JOANN M (MD)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:M
Last Name:SPERL-HILLEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8100 34TH AVE S
Mailing Address - Street 2:21110Q
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1672
Mailing Address - Country:US
Mailing Address - Phone:952-883-5790
Mailing Address - Fax:952-883-5395
Practice Address - Street 1:2220 RIVERSIDE AVE
Practice Address - Street 2:HEALTH PARTNERS RIVERSIDE CLINIC
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1321
Practice Address - Country:US
Practice Address - Phone:952-883-5790
Practice Address - Fax:952-883-5395
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2015-01-27
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Provider Licenses
StateLicense IDTaxonomies
MN31160207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E57190Medicare UPIN