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NPI Code Detail

MEDICARE: DR. KARI RABIE M.D.

MEDICARE: DR. KARI RABIE 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 Physician43556MN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1241830OTHERWIMEDICARE NGS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3C03235OTHERWIWPS

General Provider Information

NPI Number : 1366402174
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KARI RABIE M.D.
Provider Business Mailing Address
First Line : 1213 E FRANKLIN AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-2923
Country : US
Telephone Number : 612-872-8086
Fax Number : 612-872-8547
Provider Business Practice Location Address
First Line : 1213 E FRANKLIN AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-2923
Country : US
Telephone Number : 612-872-8086
Fax Number : 612-872-8547
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 03/06/2012

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