Individual
DR. FERNANDO ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1680 DIAGONAL RD, WORTHINGTON, MN 56187-1008
(507) 372-3800
(507) 372-3806
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4993
SD
208600000X
Surgery Physician
53694
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22795
SIOUX VALLEY HEALTH PLAN
SD
01
—
4993
DAKOTACARE
SD
01
—
4997175
BLUE CROSS
SD
01
—
6459
AVERA HEALTH PLANS
SD
05
—
7301830
—
SD
Enumeration date
06/14/2005
Last updated
07/23/2019
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