Individual
DR. JOHN H HONEBRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
516 ROSEDALE TOWER, 1700 W HWY 36, ROSEVILLE, MN 55113-0004
(651) 490-9920
Mailing address
1700 W HWY 36, 210 ROSEDALE TOWER, ROSEVILLE, MN 55113-0004
(651) 490-9920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LP1354
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C350HO
BCBS
MN
05
—
173348600
—
MN
Enumeration date
07/24/2006
Last updated
07/22/2008
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