Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 22864 | MN |
N | 111NI0900X | Internist | 22864 | MN |
N | 207RH0000X | Hematologist | 22864 | MN |
NPI | 1285668558 |
---|---|
Provider Name | Dr. Robert Peter Hebbel |
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 | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100804 | UCARE (01) | MN |
1009133 | PREFERRED ONE (01) | MN |
2T143HE | BCBS (01) | MN |
30-12018 | MEDICA CHOICE (01) | MN |
36-00013 | MEDICA PRIMARY (01) | MN |
768152 | ARAZ (01) | MN |
A95973 | (02) | MN |
HP22076 | HEALTHPARTNERS (01) | MN |