person
Eitan Medini, MD
Radiation Oncology Physician in St Cloud, Minnesota
NPI 1962493643

Eitan Medini is a Radiation Oncology Physician based in St Cloud, MN and is specialized in Radiation Oncology. Eitan Medini practices in St Cloud, MN and has the professional credentials of MD. The NPI Number for Eitan Medini is 1962493643 and holds a License No. 21866 (Minnesota).

The current practice location address for Eitan Medini is 1900 Centra Care Cir #1600, St Cloud, MN and can be reached out via phone at 320-229-4901 and via fax at 320-229-5160.

Location: 1900 Centra Care Cir #1600, St Cloud, MN, 56303-5000
person
Provider Profile Details
NPI Number
1962493643
Provider Name
Eitan Medini
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1900 Centra Care Cir #1600, St Cloud, MN, 56303-5000
Phone Number
320-229-4901
Fax Number
320-229-5160
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1027482 01 PREFERRED ONE
512RIME 01 BLUE CROSS BLUE SHIELD
COMP 01 FIRST HEALTH PLAN
COMP 01 MMSI
315JOME 01 BLUE CROSS BLUE SHIELD
978660 01 ARAZ GROUP AMERICAS PPO
2400101 01 MEDICA HEALTH PLANS
252563100 05 MN
COMP 01 ONE HEALTH PLAN GREAT WES
127789 01 U CARE
COMP 01 CHAMPUS
HP33037 01 HEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
1900 Centra Care Cir #1600
City
State
Zip
56303-5000
Phone Number
320-229-4901
Fax Number
320-229-5160
person
Provider Business Mailing Address Details
Address
1900 Centra Care Cir #1600
City
State
Zip
56303-5000
Phone Number
320-229-4901
Fax Number
320-229-5160
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
21866 (Minnesota)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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