Healthcare Provider Details

I. General information

NPI: 1316257892
Provider Name (Legal Business Name): ADAM P ROBINSON PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2010
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 E 26TH ST
MINNEAPOLIS MN
55404-4515
US

IV. Provider business mailing address

913 E 26TH ST STE 600
MINNEAPOLIS MN
55404-4515
US

V. Phone/Fax

Practice location:
  • Phone: 612-775-6200
  • Fax: 612-775-6222
Mailing address:
  • Phone: 612-775-6200
  • Fax: 612-775-6222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10849
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: