Individual
DOUGLAS TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6545 FRANCE AVE S, SUITE 400, EDINA, MN 55435-2131
(952) 920-9191
(952) 920-0232
Mailing address
6545 FRANCE AVE S, SUITE 400, EDINA, MN 55435-2131
(952) 920-9191
(952) 920-0232
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
26159
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1202983
MEDICA
—
01
—
17682TA
BLUE CROSS BLUE SHIELD
MN
01
—
CP9020830005
PREFERRED ONE
—
Enumeration date
07/27/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us