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NPI Code Detail

MEDICARE: DR. VICTORIA B BUOEN MD PSYCHIATRIST

MEDICARE: DR. VICTORIA B BUOEN MD PSYCHIATRIST
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
12084P0800XPsychiatry Physician30797MN
22084P0804XChild & Adolescent Psychiatry Physician30797MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E15772OTHERMNUPIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831134261
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTORIA B BUOEN MD PSYCHIATRIST
Provider Business Mailing Address
First Line : 10201 WAYZATA BLVD STE 100
Second Line :
City : MINNETONKA
State : MN
Zip : 55305-1500
Country : US
Telephone Number : 952-544-6806
Fax Number : 952-545-0098
Provider Business Practice Location Address
First Line : 10201 WAYZATA BLVD STE 100
Second Line :
City : MINNETONKA
State : MN
Zip : 55305-1500
Country : US
Telephone Number : 952-544-6806
Fax Number : 952-545-0098
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2006
Last Update Date : 02/12/2026

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