Healthcare Provider Details

I. General information

NPI: 1376635250
Provider Name (Legal Business Name): DOROTHY L UHLMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 OSBORNE ROAD SUITE 215
FRIDLEY MN
55432
US

IV. Provider business mailing address

3435 WEST BROADWAY SUITE 1065
ROBBINSDALE MN
55422
US

V. Phone/Fax

Practice location:
  • Phone: 763-786-1620
  • Fax: 763-780-2624
Mailing address:
  • Phone: 763-520-1137
  • Fax: 763-520-1976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number31572
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: