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

Dr. Tore Detlie, MD

Individual provider Diagnostic Radiology Physician · NPI 1841240686

Dr. Tore Detlie, MD is a Diagnostic Radiology in Maplewood, Minnesota. Graduated from University of Minnesota Medical School in 1984, 42 years ago. Practices with Medical Scanning Consultants PA, a 80-clinician group and accepts Medicare assignment. Licensed in Minnesota and New Hampshire.

Years since qualifying
42
Trained at
University of Minnesota Medical School
Licensed in
MN, NH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

918 Demont Ave E
Maplewood, MN 55109-1953
Phone: (952) 595-1100
Fax: (612) 294-4903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 29546 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 15435 (NH)

Record details

NPI number1841240686
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESJuly 19, 2012
Mailing address11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1984 (42 years in practice)
Group practice Medical Scanning Consultants Pa — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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