MEDICARE: FRANK E BANFIELD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	62040	MN
2	208000000X	Pediatrics Physician	0429365	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285636597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK E BANFIELD M.D.

Provider Business Mailing Address
First Line	:	8170 33RD AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55425-4516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8600 NICOLLET AVE S
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55420-2824
Country	:	US
Telephone Number	:	316-634-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/17/2017

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Directions to “ FRANK E BANFIELD M.D.” Practice Location

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