Randa, Daniel Craig

Randa, Daniel Craig is an individual health care provider with primary practice located at 3833 Coon Rapids Blvd Nw Suite 100, Coon Rapids MN 55433-2697. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Randa, Daniel Craig can be contacted via phone (763) 427-8320.

Contact Information

Primary practice address
3833 Coon Rapids Blvd Nw Suite 100 Coon Rapids MN 55433-2697
Phone: (763) 427-8320
Fax: (763) 302-4338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 21318 Minnesota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 27489 Wisconsin

Profile Details

NPI number 1619918448
LBN Legal business name Randa, Daniel Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Dec 2nd, 2011 - about 13 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 1619918448 NPPES
Minnesota Other 100297C029 UCARE
Minnesota Other 14275RA UCARE
Minnesota MEDICAID 30204000 UCARE
Minnesota MEDICAID 916763300 UCARE
Minnesota Other HP14220 UCARE
Minnesota Other 0265013 UCARE
Minnesota Other 130004697 UCARE
Minnesota Other 22679 UCARE
Minnesota Other 0501738 UCARE

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