Provider Demographics
NPI:1619920782
Name:DAY, DEBORAH L (MD)
Entity Type:Individual
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First Name:DEBORAH
Middle Name:L
Last Name:DAY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1221 NICOLLET AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-2420
Mailing Address - Country:US
Mailing Address - Phone:612-573-2232
Mailing Address - Fax:612-573-2274
Practice Address - Street 1:1221 NICOLLET AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2420
Practice Address - Country:US
Practice Address - Phone:612-573-2232
Practice Address - Fax:612-573-2274
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2008-04-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN260922085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN22827OtherAMERICA'S PPO
MN1000235OtherPREFERRED ONE
MN300085352OtherRAILROAD MEDICARE MN
MN302G7DAOtherBLUE CROSS
MN100669OtherUCARE
WI34659900Medicaid
MN316873500Medicaid
MN9F151DAOtherBLUE CROSS
MNHP13144OtherHEALTH PARTNERS
MN300000682Medicare PIN
MN300085352OtherRAILROAD MEDICARE MN
MNHP13144OtherHEALTH PARTNERS
MN316873500Medicaid