Moran, Antoinette Marie

Moran, Antoinette Marie is an individual health care provider with primary practice located at 420 Delaware St Se, Mmc 404 University Of Minnesota Physicians, Minneapolis MN 55455. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Moran, Antoinette Marie can be contacted via phone (612) 626-6777.

Contact Information

Primary practice address
420 Delaware St Se, Mmc 404 University Of Minnesota Physicians Minneapolis MN 55455
Phone: (612) 626-6777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31322 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 31322 Minnesota

Profile Details

NPI number 1780618249
LBN Legal business name Moran, Antoinette Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 5th, 2016 - about 8 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 1780618249 NPPES
Montana MEDICAID 0051748
Montana MEDICAID 706594700
Montana Other 100925
Montana MEDICAID 0963157
Montana Other 0246157
Montana Other 1009249
Montana MEDICAID 31504800
Montana Other HP 21999
Montana Other 3374526
Montana Other 24534
Montana Other 2T300MO
Montana Other 3324983

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