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Contact Information

EDWARD B MARTIN CHAFEE, MD
1200 SIXTH AVE N
SAINT CLOUD, MN56303-2735
 Phone: 320-251-2700
 Fax: 320-240-2118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for EDWARD B MARTIN CHAFEE · (Male)

NPI Number 1295728848
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2005
Last updated 03/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 34891
  • MN Medicaid 074563400
  • Other 90051 ARAZ GROUP/AMERICA'S PPO
  • Other 51G94MA BLUE CROSS BLUE SHIELD
  • Other 690476 FIRST HEALTH PLAN
  • Other HP20318 HEALTH PARTNERS
  • Other 1207854 MEDICA HEALTH PLANS
  • Other 4700063P MEDICA HEALTH PLANS
  • Other 074563400 MEDICAL ASSISTANCE (MA)
  • Other 1012096 PREFERRED ONE
  • Other 370015977 RR MEDICARE
  • Other CQ2388 RR MEDICARE
  • Other 115598 U-CARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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