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NPI Code Detail

MEDICARE: DANIEL DUFEK

MEDICARE: DANIEL DUFEK
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1871480251
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL DUFEK
Provider Business Mailing Address
First Line : 1440 DUCKWOOD DR
Second Line :
City : EAGAN
State : MN
Zip : 55122-1451
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1440 DUCKWOOD DR STE 500
Second Line :
City : EAGAN
State : MN
Zip : 55122-1399
Country : US
Telephone Number : 952-715-0429
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2025
Last Update Date : 06/19/2025

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Directions to “ DANIEL DUFEK ” Practice Location

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