Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 30909 | MN |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 30909 | MN |
NPI | 1043270994 |
---|---|
Provider Name | Diana R Danilenko |
First Address | Minneapolis, MN 55440-0043 |
Second Address | Minneapolis, MN 55407-3723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 20/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E39735 | (02) |