IndividualActive
An Church, MD
NPI 1083813182 · Diagnostic Radiology Physician · Minneapolis, MN
Provider details
- NPI number
- 1083813182
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 60703 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
909 Fulton St Se
Minneapolis, MN 55455-4800
Phone: (161) 267-2742
Fax: (612) 672-7422
Approximate (ZIP-level) locationGet directions
Mailing address
909 Fulton St Se
Minneapolis, MN 55455-4800
Registry dates
- Enumerated
- 2007-07-17
- Last updated
- 2017-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.