Individual
DR. RICHARD JOSEPH DANNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF KENTUCKY, 740 S. LIMESTONE, LEXINGTON, KY 40536-0284
(859) 323-5867
(859) 323-4781
Mailing address
UNIVERSITY OF KENTUCKY, 740 S. LIMESTONE, LEXINGTON, KY 40536-0284
(859) 323-5867
(859) 323-4781
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20875
KY
207W00000X
Ophthalmology Physician
27830
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110565
EYEMED
MN
01
—
114683
U-CARE
MN
05
—
475067500
—
MN
01
—
BCBSM
43034DA
MN
01
—
HEALTH PARTNERS
19379
MN
01
—
MEDICA
0808759
MN
01
—
PREFERRED ONE
826041022794
MN
Enumeration date
04/20/2006
Last updated
04/05/2016
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