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Individual

DOUGLES LEE HUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1D, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 273-6004
(612) 273-8459
Mailing address
4801W 81ST ST 108, MINNEAPOLIS, MN 55437-1111
(952) 837-9700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9087
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-10163
MEDICA PRIMARY
MN
01
01-13423
MEDICA CHOICE
MN
01
HP39022
HEALTHPARTNERS
MN
Enumeration date
07/10/2006
Last updated
10/20/2015
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