Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 34848 | MN |
N | 111NI0900X | Internist | 34848 | MN |
N | 207RC0200X | Critical Care Medicine | 34848 | MN |
Y | 207RP1001X | Pulmonary Disease | 34848 | MN |
NPI | 1063446557 |
---|---|
Provider Name | Dr. David Ingbar |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 27/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0057953 | (05) | MT |
034072300 | (05) | MN |
100808 | UCARE (01) | MN |
1009154 | PREFERRED ONE (01) | MN |
31794000 | (05) | WI |
48-00006 | MEDICA PRIMARY (01) | MN |
48-24596 | MEDICA CHOICE (01) | MN |
768171 | ARAZ (01) | MN |
7777470 | (05) | SD |
8D465IN | BCBS (01) | MN |
D88767 | UPIN (01) | MN |
HP22243 | HEALTHPARTNERS (01) | MN |