Individual
DALE J MINNERATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36914
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001398
PREFERRED ONE
—
01
—
110412
U CARE
—
01
—
1202203
MEDICA HEALTH PLANS
—
01
—
2114043
FIRST HEALTH PLAN
—
01
—
51A37MI
BLUE CROSS BLUE SHIELD
—
01
—
572105
ARAZ GROUP AMERICAS PPO
—
01
—
620027300
MEDIAL ASSISTANCE
MN
01
—
COMP
CHAMPUS
—
01
—
HP27103
HEALTH PARTNERS
—
Enumeration date
11/21/2005
Last updated
11/29/2011
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