Provider Demographics
NPI:1659328615
Name:TRAISER, DANIEL S (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:S
Last Name:TRAISER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:712 SOUTH CASCADE STREET
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537-2813
Mailing Address - Country:US
Mailing Address - Phone:218-736-8000
Mailing Address - Fax:218-736-8757
Practice Address - Street 1:712 SOUTH CASCADE STREET
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-2813
Practice Address - Country:US
Practice Address - Phone:218-736-8000
Practice Address - Fax:218-736-8757
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN401822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP23753OtherHEALTHPARTNERS - FFMG
MN12Q73TROtherBLUE SHIELD OF MINNESOTA
MN137722100Medicaid
NE41091744413Medicaid
MN120900OtherUCARE - FFMG
MNHP23753OtherHEALTHPARTNERS
MN06R74TROtherBCBS FFMG
FM1014439OtherPREFERREDONE
MN120900OtherUCARE MINNESOTA
FM15-51982OtherUNITED BEHAVIORAL HEALTH
MN16-00188OtherMEDICA - FFMG
MN1014439OtherPREFERRED ONE - FFMG
MN06R74TROtherBCBS FFMG
MNHP23753OtherHEALTHPARTNERS - FFMG
MN120900OtherUCARE - FFMG
FM15-51982OtherUNITED BEHAVIORAL HEALTH