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David A Supik

Family Doctor Family Doctor - Sports Medicine

909 Fulton St Se
Minneapolis , Minnesota 55455-4800

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David A Supik

Family Doctor Family Doctor - Sports Medicine

909 Fulton St Se
Minneapolis , Minnesota 55455-4800

(612) 672-7422

Write a Review Save Call

David A Supik

Family Doctor Family Doctor - Sports Medicine

909 Fulton St Se
Minneapolis , Minnesota 55455-4800

(612) 672-7422 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Sports Medicine

Languages spoken

  • English

Location

909 Fulton St Se Minneapolis , Minnesota 55455-4800

First Address

  • David A Supik
  • 909 Fulton St Se
  • Minneapolis, MN
  • Zip : 55455-4800
  • Phone : (612) 672-7422

Second Address

  • David A Supik
  • 909 Fulton St Se
  • Minneapolis, MN
  • Zip : 55455-4800
  • Phone : (612) 672-7422

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FAQs


Where did David A Supik attend graduate school?

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Where did David A Supik do his residency?

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Where did David A Supik do his fellowship?

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Is David A Supik board certified?

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What type of doctor is David A Supik

Family Doctor - Sports Medicine

In what state does David A Supik practice in?

Minnesota

Where is David A Supik ’s practice located?

909 Fulton St Se , Minneapolis, Minnesota, 55455-4800

What is David A Supik ’s gender?

Male

Is David A Supik a sole practitioner?

No

Is David A Supik accepting new patients?

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What languages does David A Supik speak?

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Does David A Supik accept insurance?

Yes, David A Supik accepts insurance

Does David A Supik offers telemedicine?

David A Supik has not indicated if he offers telemedicine

What is David A Supik ’s professional license number?

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What is David A Supik ’s NPI number?

1154767366

Does David A Supik have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Q00000X Family Doctor 34012342 OH
Y 207QS0010X Family Doctor - Sports Medicine 62865 MN

National Provider Identifier

NPI 1154767366
Provider Name David A Supik
First Address Minneapolis, MN 55455-4800
Second Address Minneapolis, MN 55455-4800
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 14/05/2013
Last Update Date 06/09/2017

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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