Individual
DR. MARK ROLLINS BIXBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 39TH AVE NE, MINNEAPOLIS, MN 55421-4379
(612) 706-2900
(612) 706-2901
Mailing address
8301 GOLDEN VALLEY ROAD, SUITE 300, NORTH MEMORIAL HEALTH CARE - CLINIC SERVICES, GOLDEN VALLEY, MN 55427-4484
(763) 581-0908
(952) 767-2380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24754
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-22161
MEDICA CHOICE & PRIMARY
MN
01
—
1000070
PREFERRED ONE
MN
01
—
102681
UCARE
MN
01
—
21797
ARAZ
MN
05
—
524377700
—
MN
01
—
HP27055
HEALTHPARTNERS
MN
01
—
OD081BI
BCBS
MN
Enumeration date
06/22/2006
Last updated
08/27/2010
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