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Contact Information

EMILIE GOODYEAR, MDCM
420 DELAWARE ST SE
MMC 493
MINNEAPOLIS, MN55455-0341
 Phone: 612-625-4400
 Fax: 612-626-3119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
Indicates primary specialty

NPI Profile & details for

NPI Number 1114230943
Entity Organization
Organization subpart 1 Not specified
Enumeration date 07/21/2010
Last updated 07/21/2010 - About 16 years ago
Identifiers
MN License # 52783
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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