Douglas Tate is a Adolescent Medicine in Edina, Minnesota. Douglas Tate practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Douglas Tate is 1659395283. The last update date is 2007-07-08.
Douglas Tate's current location address is 6545 France Ave S, Edina, Minnesota. You can contact this provider via phone number 9529209191 and fax number 9529200232. The mailing address for Douglas Tate is 6545 France Ave S, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Tate |
|---|---|
| Address | 6545 France Ave S, Edina, Minnesota |
| Phone Number | 9529209191 |
| Fax Number | 9529200232 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1659395283 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6545 France Ave S |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554352131 |
| Phone Number | 9529209191 |
| Fax Number | 9529200232 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 26159 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17682TA | MN | BLUE CROSS BLUE SHIELD | |
| CP9020830005 | PREFERRED ONE | ||
| 1202983 | MEDICA |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas Tate by the Centers for Medicare & Medicaid Services?
The Douglas Tate has been assigned the NPI (National Provider Identifier) 1659395283. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Douglas Tate?
The Douglas Tate is situated at 6545 France Ave S, in the city of Edina, state of MN, with the zip code 554352131.
What is the area of specialization for Douglas Tate, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Douglas Tate is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.
On what date did the Douglas Tate receive its 1659395283 assignment from the Centers for Medicare & Medicaid Services?
The Douglas Tate was assigned its 1659395283 by the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date were the details related to Douglas Tate most recently updated or revised?
The information pertaining to Douglas Tate, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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