Individual
ANTHONY LAWRENCE SEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 PARK AVE, P4, MINNEAPOLIS, MN 55415-1623
(612) 873-2787
Mailing address
701 PARK AVENUE, DEPARTMENT OF RADIOLOGY, HCMC, MINNEAPOLIS, MN 55415
(612) 873-2036
(612) 904-4567
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
41529
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622941700
—
MN
Enumeration date
07/10/2006
Last updated
09/14/2011
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