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Individual
DR. MARK ROLLINS BIXBY
Active
Individual
DR. MARK ROLLINS BIXBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24754
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-22161
MEDICA CHOICE & PRIMARY
MN
01
—
1000070
PREFERRED ONE
MN
01
—
102681
UCARE
MN
01
—
21797
ARAZ
MN
05
—
524377700
—
MN
01
—
HP27055
HEALTHPARTNERS
MN
01
—
OD081BI
BCBS
MN
Enumeration date
06/22/2006
Last updated
08/27/2010
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