Healthcare Provider Details

I. General information

NPI: 1679756720
Provider Name (Legal Business Name): DONGMING CAI M.D./PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2007
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5775 WAYZATA BLVD STE 255
MINNEAPOLIS MN
55416-1275
US

IV. Provider business mailing address

2101 6TH ST SE # WMBB5190
MINNEAPOLIS MN
55455-3008
US

V. Phone/Fax

Practice location:
  • Phone: 952-525-4500
  • Fax:
Mailing address:
  • Phone: 646-648-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number73691
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: