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NPI Code Detail

MEDICARE: DAVID AARON QUALE M.D.

MEDICARE: DAVID AARON QUALE 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
1208000000XPediatrics Physician50557MN

General Provider Information

NPI Number : 1891987087
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID AARON QUALE M.D.
Provider Business Mailing Address
First Line : 14001 RIDGEDALE DRIVE
Second Line : SUITE 100
City : MINNETONKA
State : MN
Zip : 55305-1781
Country : US
Telephone Number : 952-473-0211
Fax Number : 952-473-7908
Provider Business Practice Location Address
First Line : 14001 RIDGEDALE DRIVE
Second Line : SUITE 100
City : MINNETONKA
State : MN
Zip : 55305-1781
Country : US
Telephone Number : 952-473-0211
Fax Number : 952-473-7908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2007
Last Update Date : 02/27/2013

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