Provider Demographics
NPI:1578599643
Name:BENDEL, CATHERINE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MARIE
Last Name:BENDEL
Suffix:
Gender:F
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:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - Street 2:420 DELAWARE STREET SE, MMC 39
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-626-0644
Mailing Address - Fax:612-624-8176
Practice Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address - Street 2:516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-626-0644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN31437208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN47-24748OtherMEDICA CHOICE
MN768017OtherARAZ
MT0052343Medicaid
IA0506170Medicaid
MN1008866OtherPREFERRED ONE
WI31704800Medicaid
MN101182OtherUCARE
MN2T261BEOtherBCBS
MN47-04198OtherMEDICA PRIMARY
MNHP12880OtherHEALTHPARTNERS
MN681308900Medicaid
MN101182OtherUCARE
IA0506170Medicaid
MN768017OtherARAZ