Individual
DENNIS BEALKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
(651) 602-7517
Mailing address
2900 46TH CT E, INVER GROVE HEIGHTS, MN 55076-1124
(651) 457-4266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22817
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016J3BE
BCBS
MN
01
—
0713378
MEDICA
MN
01
—
103974
UCARE
MN
01
—
HP15854
HEALTH PARTNERS
MN
01
—
NA9021017541
PREFERRED ONE
MN
Enumeration date
03/17/2006
Last updated
07/08/2007
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