Peter Conklin in Bloomington - Diagnostic Radiology
Peter Conklin - NPI 1447200605
Peter Conklin is a Diagnostic Radiology in Bloomington, Minnesota. Peter Conklin practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Peter Conklin is 1447200605. The last update date is 2019-04-25.
Peter Conklin's current location address is 4801 W 81st St, Bloomington, Minnesota. You can contact this provider via phone number 9528379700 and fax number 9528379701. The mailing address for Peter Conklin is 4801 W 81st St, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Conklin |
|---|---|
| Address | 4801 W 81st St, Bloomington, Minnesota |
| Phone Number | 9528379700 |
| Fax Number | 9528379701 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1447200605 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2019-04-25 |
Provider Mailing Address Detail
| Address | 4801 W 81st St |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554371111 |
| Phone Number | 9528379700 |
| Fax Number | 9528379701 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 31824 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 673307700 | MN | -- |
Post Comment/ Review Below
What is the Peter Conklin's 1447200605?
The Peter Conklin's NPI (National Provider Identifier) Number is 1447200605. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Peter Conklin?
The Peter Conklin is physically situated at 4801 W 81St St, in the city of Bloomington, state of MN, with the postal code 554371111.
What is the Peter Conklin's specialty and taxonomy code?
The Peter Conklin's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Peter Conklin receive the assignment of its 1447200605 from the Centers for Medicare & Medicaid Services?
The Peter Conklin was issued its 1447200605 by the Centers for Medicare & Medicaid Services on 2006-05-10.
As of what date were the Peter Conklin's details last updated?
The information pertaining to the Peter Conklin, including its address, specialty, and other details, was most recently updated on 2019-04-25.