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NPI Code Detail

MEDICARE: LINDA K FERRARIO

MEDICARE: LINDA K FERRARIO
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
1207Q00000XFamily Medicine Physician30920MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2108018OTHERMNUCARE
3555K3FEOTHERMNBCBS
401-21096OTHERMNMEDICA
5HP13273OTHERMNHEALTH PARTNERS
6NA9020180013OTHERMNPERFERRED ONE

General Provider Information

NPI Number : 1235198078
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA K FERRARIO
Provider Business Mailing Address
First Line : 8170 33RD AVE S # MS 21110Q
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55425-4516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2165 WHITE BEAR AVE N
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55109-2707
Country : US
Telephone Number : 651-523-9800
Fax Number : 651-523-9801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 03/17/2021

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Directions to “ LINDA K FERRARIO ” Practice Location

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