Individual
KATHRYN E DUSENBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 HARVARD ST SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 273-6700
Mailing address
420 DELAWARE ST SE MMC 494, MMUNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 273-6700
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
29219
MN
2085R0001X
Radiation Oncology Physician
Primary
29219
MN
2085R0203X
Therapeutic Radiology Physician
29219
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051408
—
MT
01
—
023705
FAIRVIEW
MN
01
—
1010261
PREFERRED ONE
MN
01
—
101256
U CARE
MN
01
—
24-02006
MEDICA-PRIMARY
MN
01
—
2422566
MEDICA-CHOICE
MN
01
—
2T422DU
BLUE CROSS BLUE SHIELD
MN
01
—
768091
ARAZ
—
05
—
884508500
—
MN
01
—
HP22123
HEALTH PARTNERS
MN
Enumeration date
09/14/2006
Last updated
08/06/2024
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