Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel P Mundt

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053870147

Daniel P Mundt is a Hematology/Oncology in Maple Grove, Minnesota. Qualified in 2019, 7 years ago. Practices with Minnesota Oncology Hematology PA, a 132-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

10150 Niagara Ln N Ste 100
Maple Grove, MN 55369-7588
Phone: (763) 297-9700
Fax: (651) 414-3101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5900 S Lake Dr, Cudahy, WI 53110-3171 — (414) 489-9000
  • 1218 W Kilbourn Ave Ste 200, Milwaukee, WI 53233-1325 — (414) 219-7370

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 78532 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053870147
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 18, 2019
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address2550 University Ave W Ste 110n, Saint Paul, MN 55114-2001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Minnesota Oncology Hematology Pa — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Maple Grove