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Chad P Soupir, MD

Pathology, Anatomic Pathology & Clinical Pathology in Minneapolis, MN. Individual provider (NPI-1).

NPI number1104875301
StatusActive
Last updated in NPPESOct 21, 2008

Details

NPI
1104875301
Entity type
Individual (NPI-1)
Name
Chad P Soupir
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 8, 2006
Last updated
Oct 21, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology51285MNYes
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology224566MA

Practice location

6500 Excelsior Blvd
Minneapolis, MN 55426-4702

Phone 952-993-5290

Mailing address

Po Box 385760
Bloomington, MN 55438-5760

Phone 952-944-0970 · Fax 952-944-1761

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