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Contact Information

DANIEL CARBALLO, MD
3955 PARKLAWN AVE STE 120
EDINA, MN55435-5660
 Phone: 952-278-6950
 Fax: 952-278-6947
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DANIEL CARBALLO · (Male)

NPI # 1144580242
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2012
Last updated 08/12/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 59095
Hospital affiliation(s) Not Available
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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