Individual
NATALIA SEMENOVNA DORLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9645 GROVE CIR N STE 100, MAPLE GROVE, MN 55369-4466
(763) 302-4114
(763) 302-4081
Mailing address
9645 GROVE CIR N STE 100, MAPLE GROVE, MN 55369-4466
(763) 302-4114
(763) 302-4081
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
59372
MN
2084N0600X
Clinical Neurophysiology Physician
59372
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114241676
—
MN
Enumeration date
03/26/2010
Last updated
05/18/2022
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