Individual
ANTOINETTE MARIE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
420 DELAWARE ST SE, MMC 404, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 626-6777
Mailing address
420 DELAWARE ST SE, MMC 404, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 626-6777
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
31322
MN
2080P0205X
Pediatric Endocrinology Physician
Primary
31322
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051748
—
MT
01
—
0246157
OH MA
OH
05
—
0963157
—
IA
01
—
1009249
PREFERRED ONE
—
01
—
100925
UCARE
—
01
—
24534
ARAZ/PPO
—
01
—
2T300MO
BCBS
MN
05
—
31504800
—
WI
01
—
3324983
MEDICA CHOICE
—
01
—
3374526
MEDICA PRIMARY
—
05
—
706594700
—
MN
01
—
HP 21999
HEALTHPARTNERS
—
Enumeration date
07/10/2006
Last updated
07/05/2016
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