Individual
PERRY J SEVERANCE
Active
Individual
PERRY J SEVERANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25579
MN
207RI0200X
Infectious Disease Physician
Primary
25579
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045098700
MEDICAL ASSISTANCE
—
01
—
1000006
PREFERRED ONE
—
01
—
108496
U-CARE
—
01
—
2114131
FIRST HEALTH PLAN
—
01
—
449000005
MEDICARE
—
01
—
600819
ARAZ GRP/AMERICA'S PPO
—
01
—
6D089SE
BLUE CROSS BLUE SHIELD
—
01
—
9227216
MEDICA HEALTH PLANS
—
01
—
HP22744
HEALTH PARTNERS
—
Enumeration date
10/17/2005
Last updated
12/13/2011
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