Provider Demographics
NPI:1750314548
Name:REGELMANN, WARREN (MD)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:
Last Name:REGELMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE STREET SE, MMC 742
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-626-2916
Mailing Address - Fax:612-626-0413
Practice Address - Street 1:516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
Practice Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-626-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN21282208000000X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7777470Medicaid
ND10387Medicaid
WI30277800Medicaid
MN525820OtherARAZ
MN12-70260OtherMEDICA PRIMARY
MN48-00433OtherRIDGES PEDS MEDICA PRIMAR
OH0243552Medicaid
MN1009287OtherPREFERRED ONE
MN750265600Medicaid
MN100991OtherUCARE
MN2T313REOtherBCBS
MNHP22060OtherHEALTHPARTNERS
MT0055114Medicaid
IA0500884Medicaid
MN48-00200OtherMEDICA CHOICE
MN48-00481OtherRIDGES PEDS MEDICA CHOICE
MN100991OtherUCARE
MN48-00481OtherRIDGES PEDS MEDICA CHOICE