Tudor, Maria Dana

Tudor, Maria Dana is an individual health care provider with primary practice located at 480 Osborne Rd Ne Suite 100, Fridley MN 55432-2773. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tudor, Maria Dana can be contacted via phone (763) 785-4500.

Contact Information

Primary practice address
480 Osborne Rd Ne Suite 100 Fridley MN 55432-2773
Phone: (763) 785-4500
Fax: (763) 785-3329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0428724 Kansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36874 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57926 Minnesota

Profile Details

NPI number 1194766774
LBN Legal business name Tudor, Maria Dana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Apr 14th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194766774 NPPES
Nebraska MEDICAID 10025457800
Nebraska MEDICAID 0741371
Nebraska Other P00360039
Nebraska Other 32839
Nebraska Other 229867

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