Provider Demographics
NPI:1700827540
Name:ALBEE, DANIEL JOE (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOE
Last Name:ALBEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2475 15TH ST NW
Mailing Address - Street 2:SUITE D
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-5605
Mailing Address - Country:US
Mailing Address - Phone:651-636-0308
Mailing Address - Fax:651-697-1209
Practice Address - Street 1:2475 15TH ST NW
Practice Address - Street 2:SUITE D
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-5605
Practice Address - Country:US
Practice Address - Phone:651-636-0308
Practice Address - Fax:651-697-1209
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN275292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN26000025Medicare ID - Type UnspecifiedMEDICARE
MNA96035Medicare UPIN