Individual
MS. DENISE BOWEN IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LP
Contact information
Practice address
520 NW 5TH ST, BRAINERD, MN 56401-2902
(218) 829-3235
(218) 829-1368
Mailing address
944 BIRCH LN, EAST GULL LAKE, MN 56401-3094
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2184
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012382
PREFERRED ONE INSURANCE
MN
01
—
126409
BHP - UCARE INSURANCE
MN
01
—
2H892IV
BCBS INSURANCE
MN
01
—
62-12835
MEDICA INSURANCE
MN
01
—
HP25546
HEALTH PARTNERS INSURANCE
MN
Enumeration date
12/18/2006
Last updated
07/08/2007
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