Basic Information
Provider Information
NPI: 1164744942
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CUMANI
FirstName: BLENDI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5010
Address2:  
City: MINOT
State: ND
PostalCode: 58701
CountryCode: US
TelephoneNumber: 7018575650
FaxNumber: 7018575031
Practice Location
Address1: 400 BURDICK EXPY E
Address2:  
City: MINOT
State: ND
PostalCode: 587014768
CountryCode: US
TelephoneNumber: 7018577301
FaxNumber: 7018577071
Other Information
ProviderEnumerationDate: 02/22/2010
LastUpdateDate: 10/18/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMD438389PAN Allopathic & Osteopathic PhysiciansSurgery 
2086S0105X12369NDY Allopathic & Osteopathic PhysiciansSurgerySurgery of the Hand

No ID Information.


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