Provider Demographics
NPI:1184657033
Name:MCLAUGHLIN, TERRANCE DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:TERRANCE
Middle Name:DAVID
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6401 UNIVERSITY AVE NE
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-4341
Mailing Address - Country:US
Mailing Address - Phone:763-572-5710
Mailing Address - Fax:763-571-3008
Practice Address - Street 1:550 OSBORNE RD NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-2718
Practice Address - Country:US
Practice Address - Phone:763-236-5000
Practice Address - Fax:763-236-3524
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN34413208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0422307OtherMEDICA #
MN1000849OtherPREFERRED ONE
MN107310OtherUCARE MN#
MN4134986OtherAETNA INS
MN4T078MCOtherBCBS OF MN
MNHP19926OtherHEALTHPARTNERS
MN164708300Medicaid
MN21967OtherAMERICA'S PPO