Individual
DR. DANIEL CRAIG RANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3833 COON RAPIDS BLVD NW, SUITE 100, COON RAPIDS, MN 55433-2697
(763) 427-8320
(763) 302-4338
Mailing address
3833 COON RAPIDS BLVD NW, SUITE 100, COON RAPIDS, MN 55433-2697
(763) 427-8320
(763) 302-4338
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
21318
MN
2084N0400X
Neurology Physician
27489
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0265013
PREFERRED ONE
MN
01
—
0501738
MEDICA
MN
01
—
100297C029
UCARE
MN
01
—
130004697
RAILROAD MEDICARE
MN
01
—
14275RA
BCBS OF MN
MN
01
—
22679
AMERICA'S PPO
MN
05
—
30204000
—
WI
05
—
916763300
—
MN
01
—
HP14220
HEALTHPARTNERS
MN
Enumeration date
06/10/2006
Last updated
12/02/2011
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