Individual
DR. JUDY A. EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 OSBORNE RD NE, RT. 52840, FRIDLEY, MN 55432-2718
(763) 236-5000
(763) 236-3524
Mailing address
100 CIMARRON CT, APPLE VALLEY, MN 55124-9722
(952) 681-0970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32028
MN
208M00000X
Hospitalist Physician
Primary
32028
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-07812
MEDICA
MN
01
—
0408822
MEDICA CHOICE
MN
01
—
1031906
PREFERRED ONE
MN
01
—
142167
UCARE
MN
01
—
2443412
AMERICA'S PPO
MN
01
—
523P9EA
BCBS OF MN
MN
05
—
830707500
—
MN
01
—
HP10369
HEALTH PARTNERS
MN
Enumeration date
03/21/2006
Last updated
05/20/2021
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