Provider Demographics
NPI:1134152218
Name:HORDINSKY, MARIA KRAMARCZUK (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:KRAMARCZUK
Last Name:HORDINSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:720 WASHINGTON AVE SE, STE 200
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414
Mailing Address - Country:US
Mailing Address - Phone:612-884-0649
Mailing Address - Fax:612-672-7422
Practice Address - Street 1:516 DELAWARE STREET SE, CLINIC 5A
Practice Address - Street 2:DERMATOLOGY CLINIC
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0356
Practice Address - Country:US
Practice Address - Phone:612-625-5656
Practice Address - Fax:612-672-7422
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN25675207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1009142OtherPREFERRED ONE
MNHP22110OtherHEALTHPARTNERS
MN768160OtherARAZ
MN100327OtherUCARE
MN03-24884OtherMEDICA CHOICE
MN179598800Medicaid
MN03-00010OtherMEDICA PRIMARY
MN2T240HDOtherBCBS
MN03-24884OtherMEDICA CHOICE
MN070000427Medicare ID - Type UnspecifiedMEDICARE