Healthcare Provider Details

I. General information

NPI: 1598891996
Provider Name (Legal Business Name): MR. ROBERT M NEVE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 W SUPERIOR ST #200
DULUTH MN
55802-1701
US

IV. Provider business mailing address

10916 GREENBRIER RD
MINNETONKA MN
55305-3474
US

V. Phone/Fax

Practice location:
  • Phone: 218-722-6611
  • Fax: 218-722-4235
Mailing address:
  • Phone: 952-541-1799
  • Fax: 952-541-5451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2005
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1036060
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: