Radovich, Terri J.

Radovich, Terri J. is an individual health care provider with primary practice located at 1601 Golf Course Rd , Grand Rapids MN 55744-8648. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Radovich, Terri J. can be contacted via phone (218) 326-5000.

Contact Information

Primary practice address
1601 Golf Course Rd Grand Rapids MN 55744-8648
Phone: (218) 326-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29406 Minnesota

Profile Details

NPI number 1649257213
LBN Legal business name Radovich, Terri J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Feb 5th, 2013 - about 11 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 1649257213 NPPES
Other 1649257213 UCARE
Other 1649257213 UCARE
Other 1649257213 UCARE
Other 1649257213 UCARE
Other 1649257213 UCARE
MEDICAID 1649257213 UCARE
MEDICAID 1649257213 UCARE
MEDICAID 597077600 UCARE
Other 0141137 UCARE
Other 1649257213 UCARE

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