Basic Information
Provider Information
NPI: 1538129614
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BURNS
FirstName: DURAND
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 43
Address2: MR 10202
City: MINNEAPOLIS
State: MN
PostalCode: 554400043
CountryCode: US
TelephoneNumber: 6122621166
FaxNumber: 6122624258
Practice Location
Address1: 800 E 28TH ST
Address2: SUITE H2100
City: MINNEAPOLIS
State: MN
PostalCode: 554073723
CountryCode: US
TelephoneNumber: 6127753030
FaxNumber: 6128631681
Other Information
ProviderEnumerationDate: 03/24/2006
LastUpdateDate: 11/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X36132MNY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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