Mary Sue Beran MD

NPI 1033196431 - Internal Medicine - 207R00000X

NPI Details
NPI 1033196431
Gender Female
Enumeration Date 12/27/2005
Last Updated 02/29/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
15111 TWELVE OAKS CENTER DR
MINNETONKA MN, 55305-5201, US
Phone (952) 993-4500
Fax
Business Location
3800 PARK NICOLLET BLVD
CREDENTIALING
ST LOUIS PARK MN, 55416-2527, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Minnesota
License Number 40540
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According to our database, Dr. Mary Sue Beran MD NPI is 1033196431, taxonomy code is 207R00000X and license number is 40540, license state is located at Minnesota. Mary Sue Beran MD physically located at 15111 Twelve Oaks Center Dr, Minnetonka MN, 55305-5201. NPI Number Mary Sue Beran MD has the Individual type.

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1033196431 NPI number is provided on an as is basis without warranty of any kind. 1033196431 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Sue Beran MD are for informational purposes only.