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NPI Code Detail

MEDICARE: CASANDRA ELIZABETH LADAS MEDICAL STUDENT

MEDICARE:   CASANDRA ELIZABETH LADAS  MEDICAL STUDENT
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1912765983
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASANDRA ELIZABETH LADAS MEDICAL STUDENT
Provider Business Mailing Address
First Line : 701 PARK AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55415-1623
Country : US
Telephone Number : 612-873-3000
Fax Number :
Provider Business Practice Location Address
First Line : 8025 GRAND AVE
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50266-5360
Country : US
Telephone Number : 612-437-0262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2024
Last Update Date : 04/05/2025

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Directions to “ CASANDRA ELIZABETH LADAS MEDICAL STUDENT” Practice Location

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