Provider Demographics
NPI:1477531333
Name:DAY, DANIEL K (ME)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:K
Last Name:DAY
Suffix:
Gender:M
Credentials:ME
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Mailing Address - Street 1:8401 GOLDEN VALLEY RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-4486
Mailing Address - Country:US
Mailing Address - Phone:763-383-4130
Mailing Address - Fax:763-383-4147
Practice Address - Street 1:2805 CAMPUS DR
Practice Address - Street 2:SUITE 105
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-2676
Practice Address - Country:US
Practice Address - Phone:763-416-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-02
Last Update Date:2015-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN26091207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN975870400Medicaid
MN180010201Medicare PIN
MNA95690Medicare UPIN
MN975870400Medicaid