MEDICARE: DENNIS L CONFER 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	207RH0003X	Hematology & Oncology Physician	25804	MN
2	207RH0003X	Hematology & Oncology Physician	17858	OK

General Provider Information

NPI Number	:	1649521618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS L CONFER M.D.

Provider Business Mailing Address
First Line	:	3001 BROADWAY ST NE
Second Line	:	SUITE 100
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-2195
Country	:	US
Telephone Number	:	612-362-3425
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 BROADWAY ST NE
Second Line	:	SUITE 100
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-2195
Country	:	US
Telephone Number	:	612-362-3425
Fax Number	:

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

Provider Enumeration Date	:	10/01/2012
Last Update Date	:	10/01/2012

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