Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | R0457569 | MN |
NPI | 1285666545 |
---|---|
Provider Name | Elaine Murray |
First Address | Minneapolis, MN 55407-1544 |
Second Address | Lilydale, MN 55118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 14/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0704393 | MEDICA (01) | MN |
2349339 | AMERICAS PPO (01) | MN |
33348 1025463 | PREFERRED ONE (01) | MN |
376G4MU | BLUE CROSS (01) | MN |
43183 | HEALTH PARTNERS (01) | MN |