Individual
CASSANDRA ELIZABETH CARLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
43615
MN
207Q00000X
Family Medicine Physician
Primary
PY 43615
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38G77CA
BLUE CROSS/BLUE SHIELD
MN
01
—
5106737-00
MHCP
MN
05
—
510673700
—
MN
01
—
RU0062P001
UCARE
MN
Enumeration date
11/03/2005
Last updated
11/28/2017
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