Healthcare Provider Details

I. General information

NPI: 1003040221
Provider Name (Legal Business Name): TODAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2009
Last Update Date: 05/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14135 CEDAR AVE STE 100
APPLE VALLEY MN
55124-4523
US

IV. Provider business mailing address

14135 CEDAR AVE STE 100
APPLE VALLEY MN
55124-4523
US

V. Phone/Fax

Practice location:
  • Phone: 952-432-4373
  • Fax: 952-997-5679
Mailing address:
  • Phone: 952-432-4373
  • Fax: 952-997-5679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES E DUFORT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 952-432-4373