Daniel E Noonan, MD
Individual provider Active NPI Family Medicine Physician · Osseo, MN
NPI 1790711984 · NPPES record last updated Oct 20, 2020
Key facts
- NPI
- 1790711984
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 27706 (MN)
- Practice address
- 50 Central Ave
Osseo, MN 55369-1241 - Phone
- (763) 420-1900
- Fax
- (763) 420-1901
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27706 | MN | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27706 | MN | Yes |
Addresses
Primary practice location
50 Central Ave
Osseo, MN 55369-1241
Mailing address
50 Central Ave
Osseo, MN 55369-1241
Phone (763) 587-7900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128275100 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | daniel.noonan@nor.eclinicaldirectplus.com |
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All providers in Osseo, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.