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Individual
DENNIS BEALKA
Active
Individual
DENNIS BEALKA
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
22817
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016J3BE
BCBS
MN
01
—
0713378
MEDICA
MN
01
—
103974
UCARE
MN
01
—
HP15854
HEALTH PARTNERS
MN
01
—
NA9021017541
PREFERRED ONE
MN
Enumeration date
03/17/2006
Last updated
07/08/2007
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