Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 34896 | MN |
NPI | 1003879917 |
---|---|
Provider Name | Dr. Mary Delling Mclaurin |
First Address | Minneapolis, MN 55422-2926 |
Second Address | Minneapolis, MN 55422-2926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 25/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
785517600 | (05) | MN |
G52498 | (02) | MN |