Individual
TODD M OFFICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2874
Mailing address
PO BOX 1450 # NW7813, MINNEAPOLIS, MN 55485-0001
(218) 732-2800
(218) 732-2874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52316
MN
207Q00000X
Family Medicine Physician
RL-0437
SD
207Q00000X
Family Medicine Physician
TP-104372
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
492921
WELLMARK
SD
01
—
4992652
WELLMARK
SD
01
—
4994117
WELLMARK
SD
05
—
5612800
—
SD
05
—
5612802
—
SD
05
—
5612803
—
SD
01
—
7038
DAKOTACARE
SD
01
—
P00463249
RR MEDICARE
SD
Enumeration date
05/24/2006
Last updated
10/18/2011
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