Individual
DAVID A ROTHENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 DELAWARE ST SE, PWB - FIRST FLOOR, CLINIC 1-E, MINNEAPOLIS, MN 55455-0356
(612) 626-1999
(612) 626-0654
Mailing address
420 DELAWARE STREET SE MMC 195, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 626-1999
(612) 626-0654
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
21999
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010839
PREFERRED ONE
MN
01
—
01T37RO
BLUE CROSS BLUE SHIELD
MN
05
—
0973602
—
IA
01
—
100428
UCARE
MN
01
—
14-00032
MEDICA PRIMARY
MN
01
—
14-22591
MEDICA CHOICE
MN
05
—
683595300
—
MN
01
—
768328
ARAZ
MN
01
—
HP14281
HEALTH PARTNERS
MN
Enumeration date
11/09/2006
Last updated
06/08/2015
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