Individual
DR. DALE LEE CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 OSBORNE RD NE STE 255, FRIDLEY, MN 55432-2768
(763) 236-2500
(763) 236-2505
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30742
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0817023
PREFERRED ONE
MN
01
—
08F09CO
BCBS OF MN
MN
01
—
107284
UCARE MN
MN
05
—
133890100
—
MN
01
—
1728229
MEDICA
MN
01
—
24970
AMERICA'S PPO
MN
01
—
4133301
AETNA
MN
01
—
HP13072
HEALTHPARTNERS
MN
Enumeration date
04/04/2006
Last updated
11/09/2020
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