Individual
DR. PHILIP MCGLAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, SUITE 5-100, CLINIC 5B, MINNEAPOLIS, MN 55455
(612) 626-2663
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE ST SE, MMC 480, MINNEAPOLIS, MN 55455
(612) 626-2663
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
22619
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0968784
—
IA
01
—
100801
UCARE
—
01
—
1009236
PREFERRED ONE
—
01
—
2T164MC
BLUE CROSS BLUE SHIELD
—
01
—
30-00025
MEDICA PRIMARY
—
01
—
30-07837
MEDICA CHOICE
—
05
—
494768100
—
MN
01
—
765734
ARAZ
—
01
—
HP22086
HEALTH PARTNERS
—
Enumeration date
10/31/2006
Last updated
10/26/2012
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