Provider Demographics
NPI:1316101629
Name:DAIGNAULT, CORY PAUL (MD)
Entity type:Individual
Prefix:
First Name:CORY
Middle Name:PAUL
Last Name:DAIGNAULT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1694 BERKELEY AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-2024
Mailing Address - Country:US
Mailing Address - Phone:612-876-1829
Mailing Address - Fax:
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-467-2601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN524302085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology