Individual
DANIEL SCOTLAND CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9801 DUPONT AVE S, SUITE 200, BLOOMINGTON, MN 55431-3100
(952) 888-5800
(952) 884-2656
Mailing address
9801 DUPONT AVE S, SUITE 425, BLOOMINGTON, MN 55431-3100
(952) 888-5800
(952) 884-2656
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
41851
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501721100
—
MN
Enumeration date
04/21/2006
Last updated
11/09/2020
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