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NPI Code Detail

MEDICARE: DR. ROBERT NERVIN HOVDA M.D.

MEDICARE: DR. ROBERT NERVIN HOVDA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician26251MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24044535OTHERMNAETNA
36603850OTHERMNMEDICA UC
40108773OTHERMNMEDICA
51000843OTHERMNPREFERRED ONE
6107296OTHERMNUCARE MN
708F36HOOTHERMNBCBS OF MN
821531OTHERMNAMERICA'S PPO
9HP19907OTHERMNHEALTHPARTNERS

General Provider Information

NPI Number : 1326001389
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT NERVIN HOVDA M.D.
Provider Business Mailing Address
First Line : 4000 CENTRAL AVE NE
Second Line :
City : COLUMBIA HEIGHTS
State : MN
Zip : 55421-2968
Country : US
Telephone Number : 763-782-8183
Fax Number : 763-782-8100
Provider Business Practice Location Address
First Line : 4000 CENTRAL AVE NE
Second Line :
City : COLUMBIA HEIGHTS
State : MN
Zip : 55421-2968
Country : US
Telephone Number : 763-782-8183
Fax Number : 763-782-8100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 03/30/2012

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