Dorland, Natalia Semenovna
Dorland, Natalia Semenovna is an individual health care provider with primary practice located at 9645 Grove Cir N Ste 100 , Maple Grove MN 55369-4466. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Dorland, Natalia Semenovna can be contacted via phone (763) 302-4114.Contact Information
Primary practice address
9645 Grove Cir N Ste 100
Maple Grove MN 55369-4466
Phone: (763) 302-4114
Fax: (763) 302-4081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 59372 | Minnesota |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 59372 | Minnesota |
Profile Details
| NPI number | 1114241676 |
|---|---|
| LBN Legal business name | Dorland, Natalia Semenovna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2010 |
| Last updated | May 18th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114241676 | NPPES |
| Minnesota | MEDICAID | 1114241676 |
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