Provider Demographics
NPI:1295818789
Name:SALTZMAN, DANIEL ALAN (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ALAN
Last Name:SALTZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE STREET SE
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-626-8430
Mailing Address - Fax:
Practice Address - Street 1:500 HARVARD STREET SE
Practice Address - Street 2:CENTER FOR MINIMALLY INVASIVE SURGERY
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-626-8430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN35817208600000X, 2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN78R91SAOtherBLUE CROSS BLUE SHIELD
MN17-00026OtherMEDICA PRIMARY
MNHP30723OtherHEALTH PARTNERS
MT0088366Medicaid
MN024910600Medicaid
IA0527143Medicaid
MN1024915OtherPREFERRED ONE
MN127919OtherUCARE
MN17-00362OtherMEDICA CHOICE
MNA066OtherCHAMPUS
MN1061862OtherARAZ
MN127919OtherUCARE
MN17-00026OtherMEDICA PRIMARY