Individual
DAYUAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1700 UNIVERSITY AVE W FL 6, SAINT PAUL, MN 55104-3727
(651) 232-2273
Mailing address
10122 POWERS LAKE TRL, WOODBURY, MN 55129-8589
(434) 973-9178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101242621
VA
207RC0000X
Cardiovascular Disease Physician
Primary
53941
MN
390200000X
Student in an Organized Health Care Education/Training Program
0116019093
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679776223
—
VA
01
—
302011
ANTHEM
VA
01
—
7389041
CIGNA
VA
01
—
9239107
AETNA
VA
Enumeration date
06/08/2007
Last updated
04/27/2018
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