Individual
MARIA DANA TUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
480 OSBORNE RD NE, SUITE 100, FRIDLEY, MN 55432-2773
(763) 785-4500
(763) 785-3329
Mailing address
480 OSBORNE RD NE, SUITE 100, FRIDLEY, MN 55432-2773
(763) 785-4500
(763) 785-3329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0428724
KS
207R00000X
Internal Medicine Physician
36874
IA
207R00000X
Internal Medicine Physician
Primary
57926
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0741371
—
IA
05
—
10025457800
—
NE
01
—
229867
MIDLANDS
—
01
—
32839
WELLMARK BCBS OF IA
—
01
—
P00360039
MEDICARE RAILROAD
—
Enumeration date
06/08/2006
Last updated
05/03/2026
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