Supik, David A

Supik, David A is an sole proprietor health care provider with primary practice located at 909 Fulton St Se , Minneapolis MN 55455-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Supik, David A can be contacted via phone (612) 672-7422.

Contact Information

Primary practice address
909 Fulton St Se Minneapolis MN 55455-4800
Phone: (612) 672-7422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34012342 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 62865 Minnesota

Profile Details

NPI number 1154767366
LBN Legal business name Supik, David A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2013
Last updated Jul 21st, 2022 - about 3 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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