Healthcare Provider Details

I. General information

NPI: 1629902853
Provider Name (Legal Business Name): ROBLE ADEN MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 NICOLLET AVE
MINNEAPOLIS MN
55403-3791
US

IV. Provider business mailing address

2606 GOLDEN VALLEY RD
MINNEAPOLIS MN
55411-2808
US

V. Phone/Fax

Practice location:
  • Phone: 612-823-2947
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number1001
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: