Corfman, Randle Scott

Corfman, Randle Scott is an sole proprietor health care provider with primary practice located at 12000 Elm Creek Blvd N Suite 350, Maple Grove MN 55369-7073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Corfman, Randle Scott can be contacted via phone (763) 494-7700.

Contact Information

Primary practice address
12000 Elm Creek Blvd N Suite 350 Maple Grove MN 55369-7073
Phone: (763) 494-7700
Fax: (763) 494-7706
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 207VE0102X Minnesota

Profile Details

NPI number 1649314584
LBN Legal business name Corfman, Randle Scott
Credentials PH.D, M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1649314584 NPPES
North Dakota Other COR16154 BCBS-ND PROVIDER #
North Dakota Other 3D491-MI BCBS-ND PROVIDER #
North Dakota Other 3D492 BCBS-ND PROVIDER #
North Dakota Other COR16153 BCBS-ND PROVIDER #

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