Duane Mathew Sushoreba in Cook - General Practice
Duane Mathew Sushoreba - NPI 1689649386
Duane Mathew Sushoreba is a General Practice in Cook, Minnesota. Duane Mathew Sushoreba practices all healthcare services and medical treatments related to General Practice. The NPI Number for Duane Mathew Sushoreba is 1689649386. The last update date is 2007-07-08.
Duane Mathew Sushoreba's current location address is 20 5th St Se, Cook, Minnesota. You can contact this provider via phone number 2186665958 and fax number 2186665099. The mailing address for Duane Mathew Sushoreba is 20 5th St Se, Cook, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Duane Mathew Sushoreba |
|---|---|
| Address | 20 5th St Se, Cook, Minnesota |
| Phone Number | 2186665958 |
| Fax Number | 2186665099 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1689649386 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20 5th St Se |
|---|---|
| City | Cook |
| State | Minnesota (MN) |
| Post Code | 557239702 |
| Phone Number | 2186665958 |
| Fax Number | 2186665099 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D8861 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Duane Mathew Sushoreba's unique identification number?
The Duane Mathew Sushoreba has been assigned the NPI (National Provider Identifier) Number 1689649386 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Duane Mathew Sushoreba located?
The Duane Mathew Sushoreba is located at 20 5Th St Se, Cook, MN 557239702.
What is Duane Mathew Sushoreba's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Duane Mathew Sushoreba is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Duane Mathew Sushoreba receive its 1689649386 assignment from the Centers for Medicare & Medicaid Services?
The Duane Mathew Sushoreba was assigned its 1689649386 by the Centers for Medicare & Medicaid Services on 2006-02-17.
As of what date were the details pertaining to Duane Mathew Sushoreba last refreshed?
The information related to the Duane Mathew Sushoreba, including its address, specialty, and other relevant details, was last updated on 2007-07-08.