Moscandrew, Maria E

Moscandrew, Maria E is an individual health care provider with primary practice located at 825 S 8Th St Ste 250 , Minneapolis MN 55404-1214. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Moscandrew, Maria E can be contacted via phone (612) 347-6450.

Contact Information

Primary practice address
825 S 8Th St Ste 250 Minneapolis MN 55404-1214
Fax: (612) 347-5225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 50079 Minnesota

Profile Details

NPI number 1598962656
LBN Legal business name Moscandrew, Maria E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Sep 27th, 2012 - about 12 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 1598962656 NPPES
Minnesota MEDICAID 939648000
Minnesota Other P00425225

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