Provider Demographics
NPI:1891987087
Name:QUALE, DAVID AARON (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:AARON
Last Name:QUALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14001 RIDGEDALE DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-1781
Mailing Address - Country:US
Mailing Address - Phone:952-473-0211
Mailing Address - Fax:952-473-7908
Practice Address - Street 1:14001 RIDGEDALE DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-1781
Practice Address - Country:US
Practice Address - Phone:952-473-0211
Practice Address - Fax:952-473-7908
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2013-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN50557208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics