Pdr Burnsville, Inc in Burnsville - General Practice
Pdr Burnsville, Inc - NPI 1952414971
Pdr Burnsville, Inc is a General Practice in Burnsville, Minnesota. Pdr Burnsville, Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Pdr Burnsville, Inc is 1952414971. The last update date is 2020-08-22.
Pdr Burnsville, Inc's current location address is 14050 Nicollet Ave, Burnsville, Minnesota. You can contact this provider via phone number 9529082710. The mailing address for Pdr Burnsville, Inc is 14050 Nicollet Ave, Burnsville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pdr Burnsville, Inc |
|---|---|
| Address | 14050 Nicollet Ave, Burnsville, Minnesota |
| Phone Number | 9529082710 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Ginkel Wallace Todd |
| Credentials | D.C. |
| Telephone Number | 9529082700 |
NPI Number Detail
| NPI Number | 1952414971 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 14050 Nicollet Ave |
|---|---|
| City | Burnsville |
| State | Minnesota (MN) |
| Post Code | 553375710 |
| Phone Number | 9529082710 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique identification code assigned to Pdr Burnsville, Inc by the Centers for Medicare & Medicaid Services?
The Pdr Burnsville, Inc has been issued the NPI (National Provider Identifier) 1952414971. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Pdr Burnsville, Inc?
The Pdr Burnsville, Inc is situated at 14050 Nicollet Ave, in the city of Burnsville, state of MN, with the zip code 553375710.
What is Pdr Burnsville, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pdr Burnsville, Inc is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952414971 to Pdr Burnsville, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1952414971 to Pdr Burnsville, Inc on 2006-08-16.
When was the information related to Pdr Burnsville, Inc most recently updated or refreshed?
The details pertaining to the Pdr Burnsville, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.