Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 50634 | MN |
N | 208600000X | Surgeon | 50634 | MN |
Y | 2086S0102X | Surgical Critical Care | 50634 | MN |
NPI | 1063529881 |
---|---|
Provider Name | Frederick W Endorf |
First Address | Minneapolis, MN 55415-1623 |
Second Address | Minneapolis, MN 55404-1210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 12/08/2020 |