Provider Demographics
NPI:1851379861
Name:FILLIPI, LINDA RAE (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:RAE
Last Name:FILLIPI
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 1:701 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:ND
Mailing Address - Zip Code:58237-1379
Mailing Address - Country:US
Mailing Address - Phone:701-352-4048
Mailing Address - Fax:701-352-0268
Practice Address - Street 1:164 W 13TH STREET
Practice Address - Street 2:UNITY MEDICAL CENTER
Practice Address - City:GRAFTON
Practice Address - State:ND
Practice Address - Zip Code:58237
Practice Address - Country:US
Practice Address - Phone:701-352-1620
Practice Address - Fax:701-352-1671
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND9231207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND12215Medicaid
MN142M4FIOtherBCBS
22642Medicare ID - Type Unspecified
MN142M4FIOtherBCBS