Doctor Name: | STEVEN PAUL ROBAK |
NPI Number: | 1124343314 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CPNP |
License Number: | R106666-1 |
Business Practice Address: | 7025 France Ave S Suite 100 Edina, MN - 554354202 |
Business Phone Number: | 9529277337 |
Business Fax Number: | 9529278610 |
Mailing Address: | 7025 France Ave S, Suite 100 EDINA |
State: | MN |
Postal Code: | 554354202 |
Phone Number: | 9529277337 |
Fax Number: | 9529278610 |
NPI Enumeration Date: | 03/31/2010 |
NPI Last Update Date: | 03/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | R106666-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |