Individual
DANIELA T OUZOUNOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2855 CAMPUS DR, STE. 400, PLYMOUTH, MN 55441-2649
(763) 577-7400
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42023
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049723100
—
MN
01
—
110186093
RR MEDICARE
MN
Enumeration date
01/18/2006
Last updated
11/10/2020
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