Individual
RICHARD M. LEVINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 871-1144
(612) 871-2012
Mailing address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 871-1144
(612) 871-2012
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
24333
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098003
PREFERREDONE
MN
01
—
09846LE
BLUE SHIELD
MN
01
—
1000010
MEDICA PRIMARY
MN
01
—
1003802
MEDICA CHOICE
MN
01
—
100645
UCARE
MN
01
—
30284300
MEDICAID - WISCONSIN
WI
05
—
402792200
—
MN
01
—
88313
AMERICA'S PPO
MN
Enumeration date
08/11/2005
Last updated
05/21/2013
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