Duran, Alisa M
Duran, Alisa M is an individual health care provider with primary practice located at 420 Delaware St Se Mmc 741, Minneapolis MN 55455-0341. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Duran, Alisa M can be contacted via phone (612) 626-4603.Contact Information
Primary practice address
420 Delaware St Se Mmc 741
Minneapolis MN 55455-0341
Phone: (612) 626-4603
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42863 | Minnesota |
Profile Details
| NPI number | 1427020445 |
|---|---|
| LBN Legal business name | Duran, Alisa M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Oct 5th, 2015 - about 10 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 | 1427020445 | NPPES |
| Minnesota | MEDICAID | 826644100 |
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