Jerry L Kobrin
Ophthalmologist
401 Phalen Boulevard Mail Stop 41102e
St Paul
, Minnesota 55101-5302
Jerry L Kobrin
Ophthalmologist
401 Phalen Boulevard Mail Stop 41102e
St Paul
, Minnesota 55101-5302
(952) 883-5395
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Jerry L Kobrin
- 8100 34th Ave S 21110q
- Bloomington, MN
- Zip : 55425-1672
- Fax : (952) 883-5395
- Phone : (952) 883-5790
Second Address
- Jerry L Kobrin
- 401 Phalen Boulevard Mail Stop 41102e
- St Paul, MN
- Zip : 55101-5302
- Fax : (651) 254-7557
- Phone : (651) 254-7500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 23992 | MN |
National Provider Identifier
| NPI | 1023084084 |
|---|---|
| Provider Name | Jerry L Kobrin |
| First Address | Bloomington, MN 55425-1672 |
| Second Address | St Paul, MN 55101-5302 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E22929 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.