Individual
DR. EDWARD A JUODIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 HARVARD ST SE, UNIT J2-300 UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 273-6004
Mailing address
420 DELAWARE ST SE, MMC 292 UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 273-6004
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
41300
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054009
—
MT
01
—
1021554
PREFERRED ONE
MN
01
—
123469
U CARE
MN
01
—
16-00398
MEDICA-CHOICE
MN
01
—
16-02032
MEDICA-PRIMARY
MN
01
—
59R93JU
BLUE CROSS BLUE SHIELD
MN
01
—
930064
ARAZ
—
01
—
HP38351
HEALTHPARTNERS
MN
Enumeration date
09/28/2006
Last updated
06/10/2014
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