Individual
TEREASA M SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 255-5619
(320) 656-7068
Mailing address
PO BOX 7366, SAINT CLOUD, MN 56302-7366
(320) 255-5619
(320) 656-7068
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
38334
MN
2085R0202X
Diagnostic Radiology Physician
Primary
38334
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111039C561
UCARE OF MINNESOTA
MN
01
—
16-00698
MEDICA
MN
01
—
26649
ARAZ/ AMERICA'S PPO
MN
01
—
30005364
RAILROAD MEDICARE
MN
01
—
411772562
TRICARE
MN
01
—
6D568SI
BLUE CROSS BLUE SHIELD
MN
05
—
895819000
—
MN
01
—
965251008760
PREFERRED ONE
MN
01
—
HP25520
HEALTH PARTNERS
MN
Enumeration date
07/28/2005
Last updated
02/05/2014
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