Individual
KATHRYN O'DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
232298
MA
207R00000X
Internal Medicine Physician
248338-1
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
52694
MN
390200000X
Student in an Organized Health Care Education/Training Program
248338-1
NY
Other
Enumeration date
01/12/2007
Last updated
11/10/2011
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