Individual
DR. MARY NESVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
153 CESAR CHAVEZ ST, W. ST. PAUL, MN 55107-2226
(651) 222-1816
(651) 222-1305
Mailing address
153 CESAR CHAVEZ ST, W. ST. PAUL, MN 55107-2226
(651) 222-1816
(651) 222-1305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32549
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0125623
MEDICA
MN
01
—
105727
UCARE
MN
05
—
375395600
—
MN
01
—
3F110NE
BCBS
MN
01
—
HP14053
HEALTHPARTNERS
MN
01
—
NA9021006638
PREFERRED ONE
FM
Enumeration date
03/20/2006
Last updated
04/22/2013
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