Individual
DUSTIN WARNER
Active
Individual
DUSTIN WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4452
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
468T1WA
BCBS
MN
05
—
6126766
—
MN
01
—
6159766
MEDICA CHOICE
MN
01
—
HP39778
HEALTHPARTNERS
MN
Enumeration date
12/01/2006
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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