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Individual

BEVERLY A TROMBLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1221 NICOLLET AVE, SUITE 600, MINNEAPOLIS, MN 55403-2420
(612) 573-2232
(612) 573-2274
Mailing address
1221 NICOLLET AVE, SUITE 600, MINNEAPOLIS, MN 55403-2420
(612) 573-2232
(612) 573-2274

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32248
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0769703
IA
01
100720
UCARE
MN
01
1014488
PREFERRED ONE
MN
01
23021
AMERICA'S PPO
MN
01
299G1TR
BLUE CROSS
MN
01
300087440
RAILROAD MEDICARE MN
MN
05
34508700
WI
01
50233TR
BLUE CROSS
MN
05
909290100
MN
01
HP14576
HEALTHPARTNERS
MN
Enumeration date
06/08/2006
Last updated
05/01/2008
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