Individual
JOHN M NOBREGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Mailing address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33607
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01R81NO
BLUE CROSS
MN
05
—
0524462
—
IA
01
—
1014418
PREFERRED ONE
MN
01
—
120773
UCARE
MN
05
—
34657400
—
WI
05
—
523317800
—
MN
01
—
764344
AMERICA'S PPO
MN
01
—
HP23221
HEALTHPARTNERS
MN
Enumeration date
06/05/2006
Last updated
07/13/2022
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