Individual
ROBERT PETER DIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 345-2623
(507) 389-4685
Mailing address
60 TELEMARK DR, MANKATO, MN 56001-4100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
44675
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084321100
—
MN
01
—
169509
UCARE
—
01
—
2001366
MEDICA
—
01
—
281S8DI
BLUE CROSS BLUE SHIELD
MN
01
—
967551031099
PREFERRED ONE
—
01
—
HP42439
HEALTH PARTNERS
—
Enumeration date
08/30/2006
Last updated
07/08/2007
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