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Title: Physician (Doctor of Medicine (M.D.) and Doctor of Osteopathic Medicine (D.O.))
Alternate Title:
Description: Minnesota Board of Medical Practice
Subject: Medical Practice
Creation Date: 9/11/2008 2:16:10 PM
Modification Date: 9/11/2019 7:39:03 AM
Agency Name: Medical Practice, Minnesota Board of
Agency URL: https://mn.gov/boards/medical-practice/
Agency Description: Over 14,000 physicians are licensed by the Board of Medical Practice and the Board also regulates acupuncturists, athletic trainers, genetic counselors, naturopathic doctors, physician assistants, respiratory therapists, traditional midwives and professional firms.
Agency Phone: 612-617-2130
Agency Fax: Agency URL: https://mn.gov/boards/medical-practice/
Agency Address:
2829 University Ave. S.E., Suite 500

Minneapolis
MN
55414-3246
Division Name: Email
Division URL:
Division Description:
Division Phone: Division Fax: Division URL:
Audience: Hold Application URL:
Renewal URL: http://mn.gov/health-licensing-boards/medical-practice/licensees/license-renewal/index.jsp
Versa URL:
Requirements:
Rules: 5600
5605
5606
5620

Statutes: 147

Forms:

Physician Application Option 1 (PDF) 
This packet requires physicians to complete, print and submit directly to the Board. 

Physician Application Option 2 - Uniform Application (aka UA)
This application is partially submitted online for the basic core of information that may be shared with other states accepting the UA. Minnesota has a specific addendum addressing our state requirements. The Uniform Application for Physician State Licensure (UA) allows for quick, easy and convenient single and multi-state licensure application. The Federation of State Medical Boards (FSMB) began collecting a one-time physician service charge from all applicants utilizing the benefits of the Uniform Application for Physician State Licensure (UA) on October 27, 2011. Go to Uniform Application for details. If you have previously used the UA application, review all fields to ensure information is accurate and updated prior to submission.

The following individual forms are included in the packet but can also be downloaded separately:

Certification of Medical Education (PDF)

Facilities List (PDF)

Hospital Privileges Verification (PDF)

Malpractice History Report (PDF)

Physician Recommendation (PDF)

Physician Verification of Licensure (PDF)

Treating Physician Statement (PDF)

Verification of Postgraduate Medical Training (PDF)

Verification of Specialty Board Certification (PDF)


Other Physicians Forms

Application forms are available at Forms for Applicants


Fees:

Physician & Surgeon initial license fee - $392

Physician & Surgeon annual renewal - $192 

Criminal Background Check - $33.25

List of all fees charged by the Board


Period of Issuance:

Annual based on birth month.


Length of Determination: Two and a half months.
Other Info:
Activity: Medicine, Practice of
Doctor, Medical
Physician
License Detail URL:

Medical Practice, Minnesota Board of

Find a Practitioner / Verify a License


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