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Contact Information

ROBERT D MADOFF, MD
909 FULTON ST SE
MINNEAPOLIS, MN55455
 Phone: 612-672-7422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT D MADOFF · (Male)

NPI Number 1023191590
Status Active
Credentials MD
Entity Individual
Enumeration date 10/20/2006
Last updated 07/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 25693
  • IA Medicaid 0582528
  • MN Medicaid 841062300
  • MT Medicaid 0075089
  • WI Medicaid 31621700
  • Other 24924 ARAZ
  • Other HP13891 HEALTH PARTNERS
  • Other 14-00074 MEDICA CHOICE
  • Other 14-00004 MEDICA PRIMARY
  • Other 0013003 PREFERRED ONE
  • Other 100426 UCARE
  • MN Other 564R3MA BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • FAIRVIEW RIDGES HOSPITAL - (Acute Care)
    201 EAST NICOLLET BOULEVARD
    BURNSVILLE, MN 55337
  • UNIVERSITY OF MINNESOTA MEDICAL CENTER FAIRVIEW - (Acute Care)
    2450 RIVERSIDE AVENUE
    MINNEAPOLIS, MN 55454
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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