Individual
DANIEL LEE COURNEYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E 25TH ST, HIBBING, MN 55746-3897
(218) 312-3005
(218) 312-3003
Mailing address
PO BOX 366, HIBBING, MN 55746-0366
(218) 312-3005
(218) 312-3003
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MN43125
MN
2085N0904X
Nuclear Radiology Physician
MN43125
MN
2085R0202X
Diagnostic Radiology Physician
Primary
43125
MN
2085R0204X
Vascular & Interventional Radiology Physician
MN43125
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
584142900
—
MN
01
—
62B06CO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
09/26/2006
Last updated
07/25/2011
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