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Individual

DR. TERESA C MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, SMILEY'S CLINIC, 2615 EAST FRANKLIN AVE, MINNEAPOLIS, MN 55406
(612) 333-0770
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, SMILEY'S CLINIC, 2615 EAST FRANKLIN AVE, MINNEAPOLIS, MN 55406
(612) 333-0770

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32692
MN
207R00000X
Internal Medicine Physician
32692
MN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
32692
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-02572
MEDICA CHOICE
05
091797400
MN
01
101484
UCARE
01
1017485
PREFERRED ONE
05
1543785
IA
01
41G08MC
BLUE CROSS BLUE SHIELD
01
766124
ARAZ
01
HP21054
HEALTH PARTNERS
Enumeration date
10/31/2006
Last updated
02/15/2013
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