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Individual

DR. DAVID R NASCENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
420 DELAWARE ST SE, B-211 MAYO BUILDING - DEPARTMENT OF RADIOLOGY, MINNEAPOLIS, MN 55455-0341
(612) 626-5589
(612) 624-3188
Mailing address
420 DELAWARE ST SE, B-211 MAYO BUILDING - DEPARTMENT OF RADIOLOGY, MINNEAPOLIS, MN 55455-0341
(612) 626-5589
(612) 624-3188

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16796
MN
2085R0202X
Diagnostic Radiology Physician
50304
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1548451073
MEDICA
MN
01
161063
UCARE
MN
01
1T913NA
BLUE CROSS BLUE SHIELD
MN
01
300004396
MEDICARE
MN
01
300004397
MEDICARE
MN
01
34954500
MEDICAID
WI
05
517465200
MN
01
960371051850
PREFERRED ONE
MN
01
HP80979
HEALTH PARTNERS
MN
Enumeration date
08/08/2007
Last updated
05/21/2008
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