David A Supik, D.O.
Family Medicine, Sports Medicine in Minneapolis, MN. Individual provider (NPI-1).
NPI number1154767366
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1154767366
- Entity type
- Individual (NPI-1)
- Name
- David A Supik
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 14, 2013
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 62865 | MN | Yes |
| 207Q00000X | Family Medicine | 34012342 | OH |
Practice location
909 Fulton St SeMinneapolis, MN 55455-4800
Phone 612-672-7422
Mailing address
909 Fulton St SeMinneapolis, MN 55455-4800
Phone 612-672-7422
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Other Sports Medicine (Family Medicine) Physician providers in Minneapolis, MN
- Marisa Bartley, DONPI 1104480359
- Suzanne S Hecht, M.D.NPI 1669423950
- Patrick J Morris, MDNPI 1023194016
- Jennifer S Oberstar, MDNPI 1073515466
- Edward Julien Smith, D.O.NPI 1639602709
All 6 Sports Medicine (Family Medicine) Physician providers in Minneapolis · All 27,202 providers in Minneapolis
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