Individual
DR. BLANCHE MARIE CHAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
(612) 672-7122
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 491, MINNEAPOLIS, MN 55455
(612) 626-2922
(612) 626-2791
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
24564
MN
2080P0210X
Pediatric Nephrology Physician
Primary
24564
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0990242
—
IA
01
—
1009067
PREFERRED ONE
MN
01
—
101071
UCARE
MN
01
—
2T269CH
BCBS
MN
01
—
31-24777
MEDICA CHOICE
MN
01
—
31-74532
MEDICA PRIMARY
MN
01
—
604711
ARAZ
MN
05
—
689502600
—
MN
01
—
HP29186
HEALTHPARTNERS
MN
Enumeration date
06/26/2006
Last updated
04/18/2012
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