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Contact Information

DALE L CODY, MD
500 OSBORNE RD NE STE 255
FRIDLEY, MN55432-2768
 Phone: 763-236-2500
 Fax: 763-236-2505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DALE L CODY · (Male)

NPI # 1598727638
Status Active
Credentials MD
Entity Individual
Enumeration date 04/04/2006
Last updated 11/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 30742
  • MN Medicaid 133890100
  • MN Other 4133301 AETNA
  • MN Other 24970 AMERICA'S PPO
  • MN Other 08F09CO BCBS OF MN
  • MN Other HP13072 HEALTHPARTNERS
  • MN Other 1728229 MEDICA
  • MN Other 0817023 PREFERRED ONE
  • MN Other 107284 UCARE MN
Hospital affiliation(s)
  • MERCY HOSPITAL - (Acute Care)
    4050 COON RAPIDS BLVD
    COON RAPIDS, MN 55433
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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