MEDICARE: MS. DAWN N RAMAKER

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
1	106H00000X	Marriage & Family Therapist	1232	MN

General Provider Information

NPI Number	:	1104963594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAWN N RAMAKER

Provider Business Mailing Address
First Line	:	6542 REGENCY LN
Second Line	:	SUITE 202
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-7847
Country	:	US
Telephone Number	:	952-903-9202
Fax Number	:

Provider Business Practice Location Address
First Line	:	6542 REGENCY LN
Second Line	:	SUITE 202
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-7847
Country	:	US
Telephone Number	:	952-903-9202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	03/08/2011

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