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Individual

MS. TRUDI PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Mailing address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
50097
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03M81PA
BLUE CROSS BLUE SHIELD OF MINNESOTA
MN
01
182187
UCARE
MN
05
1851364210
IA
01
255611
MIDLANDS CHOICE INC
MN
05
34989600
WI
01
410974675
AMERICA'S PPO
MN
01
9258536
DAKOTA CARE
SD
01
960371052725
PREFERRED ONE
MN
05
976495100
MN
01
HP87262
HEALTHPARTNERS
MN
Enumeration date
02/08/2006
Last updated
07/13/2022
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