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Individual
ROBERT PAYNE
Active
Individual
ROBERT PAYNE
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
13087
SD
207Q00000X
Family Medicine Physician
59527
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001-0205178
MEDICA
—
01
—
1184038580
BCBS OF MINNESOTA
MN
05
—
1184038580
—
MN
Enumeration date
06/13/2014
Last updated
03/29/2023
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