Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | LP0379 | MN |
NPI | 1184707002 |
---|---|
Provider Name | William N Robiner |
First Address | Minneapolis, FM 55455 |
Second Address | Minneapolis, MN 55455-0356 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10011285 | PREFERRED ONE (01) | MN |
102830 | UCARE (01) | MN |
10387 | (05) | ND |
14R45RO | BLUE CROSS BLUE SHIELD (01) | MN |
39032300 | (05) | WI |
61-03264 | MEDICA CHOICE (01) | MN |
61-03264 | MEDICA PRIMARY (01) | MN |
770132 | ARAZ (01) | MN |
7777470 | (05) | SD |
HP21952 | HEALTH PARTNERS (01) | MN |