Organization
EMERGENCY PHYSICIANS & CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE HUBBARD (PRESIDENT)
(952) 442-2191
Entity
Organization
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
Mailing address
PO BOX 81, EMERGENCY PHYSICIANS & CONSULTANTS, PA, CHASKA, MN 55318-0081
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00235001
PREFERRED ONE
—
01
—
103677
UCARE
—
05
—
143713500
—
MN
01
—
15961
HEALTH PARTNERS
—
01
—
39-22239
MEDICA EMERG
—
01
—
66-22282
MEDICA - UNITED HEALTHCAR
—
01
—
95852EM
BLUE CROSS BLUE SHIELD
—
01
—
CS6766
RAILROAD MEDICARE
—
Enumeration date
06/17/2006
Last updated
10/22/2009
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