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Organization

ROBERT J SEVENICH M.D.,J.D.,P.A.

Active
Other names
HouseCallMN
Organization subpart
No

Provider details

NPI number
Authorized official
RACHEL POLSKI (OFFICE MANAGER)
(651) 444-8512
Entity
Organization

Contact information

Practice address
1714 HOWARD ST N, MAPLEWOOD, MN 55109-4842
(612) 509-5522
(651) 414-0279
Mailing address
855 VILLAGE CENTER DR STE 181, NORTH OAKS, MN 55127-3016
(651) 444-8512
(651) 414-0279

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
903318100
MN
Enumeration date
04/03/2009
Last updated
03/29/2021
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