Individual
JAMES B ORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 HARVARD STREET SE, RADIATION ONCOLOGY CLINIC, MINNEAPOLIS, MN 55455
(612) 273-6700
Mailing address
420 DELAWARE STREET SE, MMC 292 UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 273-6700
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35152
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095A4OR
BLUE CROSS BLUE SHIELD
MN
05
—
10387
—
ND
05
—
34086900
—
WI
05
—
7777470
—
SD
Enumeration date
09/14/2006
Last updated
07/08/2007
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