Individual
DR. PHILIP C. HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 NICOLLET MALL, SUITE 1149, MINNEAPOLIS, MN 55402-2606
(612) 338-3333
(612) 349-3838
Mailing address
825 NICOLLET MALL, SUITE 1149, MINNEAPOLIS, MN 55402-2606
(612) 338-3333
(612) 349-3838
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
28709
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134272000
—
MN
Enumeration date
03/27/2006
Last updated
02/02/2010
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