Individual
GERARD L BOBELDYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16472 LAUREL RD, ST JOSEPH, MN 56374
(320) 252-5131
(320) 240-2118
Mailing address
16472 LAUREL RD, ST JOSEPH, MN 56374
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26110
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037802000
MEDICAL ASSISTANCE (MA)
—
01
—
0400499
MEDICA HEALTH PLANS
—
01
—
110104504
RR MEDICARE
—
01
—
110893
U-CARE
—
01
—
2114072
FIRST HEALTH PLAN
—
01
—
600903
ARAZ GROUP/AMERICAS PPO
—
01
—
6D057BO
BLUE CROSS BLUE SHIELD
—
01
—
986003
PREFERRED ONE
—
01
—
HP22731
HEALTH PARTNERS
—
Enumeration date
10/03/2005
Last updated
09/14/2011
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