DALE J DUTHOY MD
NPI 1215942180
Family Medicine in White Bear Lake, MN

Q: What is Dale Duthoy's NPI number?

The NPI number for Dale Duthoy is 1215942180. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Q: What is Dale Duthoy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dale Duthoy was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 29, 2006

4786 BANNING AVE, WHITE BEAR LAKE, MN 55110(651) 426-6402(651) 429-3402 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dale J Duthoy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALE J DUTHOY MD (NPI 1215942180) is an individual family medicine provider in White Bear Lake, Minnesota, licensed in Minnesota (27120) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1215942180

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDALE J DUTHOYCredential: MD

Location Address4786 BANNING AVEWhite Bear Lake, MN 55110-3264

Mailing Address2025 Sloan Pl Ste 35Saint Paul, MN 55117-2092 · (651) 772-1572 · Fax (651) 772-1889

Phone(651) 426-6402

Fax(651) 429-3402

Sole ProprietorNo

Enumeration DateJuly 29, 2006

Last NPPES UpdateOctober 17, 2019

✔ NPI 1215942180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 27120

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4786 BANNING AVE, White Bear Lake, MN 55110

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Other Identifiers 1

Medicaid645567100MN

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEIF PER-ALDEN SUNDBERG PA-C

Physician Assistant