Individual
FERN RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5851 DULUTH ST, 317, GOLDEN VALLEY, MN 55422-3946
(763) 546-4301
Mailing address
5851 DULUTH ST, #317, GOLDEN VALLEY, MN 55422-3946
(763) 546-4301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23798
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10511
CHAMPUS
MN
01
—
114587
UCARE
MN
01
—
1202849
MEDICA
MN
01
—
15032RU
BLUE CROSS BLUE SHIELD
MN
01
—
399001
PREFERRED ONE
MN
01
—
HP20307
HEALTHPARTNERS
MN
Enumeration date
07/05/2006
Last updated
07/08/2007
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