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Individual

ROBERT PALENCIA MONTENEGRO

Active
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Individual

ROBERT PALENCIA MONTENEGRO

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
44463
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-10120
MEDICA
—
01
—
01-10121
MEDICA
—
01
—
01-10122
MEDICA
—
01
—
1032853
PREFERRED ONE
—
01
—
133M5MO
BLUE CROSS
MN
01
—
142928
UCARE
—
01
—
1705983
ARAZ
—
01
—
39-44354
MEDICA
—
01
—
HP36961
HEALTH PARTNERS
—
Enumeration date
07/27/2006
Last updated
07/08/2007
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