Individual
ROBERT PETER DIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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