Individual
JUSTIN T CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-5123
(320) 763-7883
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-5123
(320) 763-7883
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301111066
MI
208000000X
Pediatrics Physician
Primary
48867
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012-0006861
MEDICA
MN
05
—
010437100
—
MN
01
—
1033135298
PRIMEWEST HEALTHCARE
MN
01
—
1203709
MEDICA #
MN
01
—
135595
UCARE #
MN
05
—
13904
—
MN
01
—
27253
NDBCBS #
MN
01
—
623E1CO
MN BCBS #
MN
01
—
HP69889
HEALTHPARTNERS #
MN
Enumeration date
07/14/2006
Last updated
10/27/2016
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