Individual
DR. NANCY L ROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1502 LONDON ROAD, 102, DULUTH, MN 55812
(218) 576-0100
Mailing address
1502 LONDON ROAD, 102, DULUTH, MN 55812
(218) 576-0100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35481
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
844318100
—
MN
01
—
926741014029
PREFERRED
MN
01
—
9V846OL
BLUE CROSS
MN
Enumeration date
03/09/2006
Last updated
12/13/2011
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