Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 53063 | MN |
NPI | 1013054386 |
---|---|
Provider Name | Daniel Kuyper |
First Address | St Louis Park, MN 55426 |
Second Address | St Louis Park, MN 55426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 18/01/2018 |