IndividualActive
David Supik, D.O.
NPI 1154767366 · Sports Medicine (Family Medicine) Physician · Minneapolis, MN
Provider details
- NPI number
- 1154767366
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 34012342 (OH)
Mailing address
909 Fulton St Se
Minneapolis, MN 55455-4800
Registry dates
- Enumerated
- 2013-05-14
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.