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1528058070

NPI Code Detail

MEDICARE: DANIEL MARK GOLDING MD

MEDICARE: DANIEL MARK GOLDING MD

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	2085R0202X	Diagnostic Radiology Physician	10128	RI
2	2085R0202X	Diagnostic Radiology Physician	66360	MN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	300101938	OTHER		RAILROADMEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	003118404	OTHER		CT MED ASSISTANCE
2	1600025	OTHER		UNITEDHEALTHPLANS
4	7007228	OTHER		RIMEDICALASSISTANCE
5	010128	OTHER		BLUESHIELD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	720087501	OTHER		CIGNA
8	000000001988	OTHER		NHPRI
9	007007236	OTHER		HOSPITALPIN
10	405086	OTHER		BLUECHIP
11	101280	OTHER		TUFTS
12	3205118	OTHER		HEALTHYSTART

General Provider Information

NPI Number	:	1528058070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL MARK GOLDING MD

Provider Business Mailing Address
First Line	:	7595 ANAGRAM DR
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-7399
Country	:	US
Telephone Number	:	612-573-2200
Fax Number	:	612-573-2274

Provider Business Practice Location Address
First Line	:	7595 ANAGRAM DR
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-7399
Country	:	US
Telephone Number	:	612-573-2200
Fax Number	:	612-573-2274

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	07/18/2022

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Directions to “ DANIEL MARK GOLDING MD” Practice Location

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