Individual
ROBERT PALENCIA MONTENEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-4521
(320) 634-2262
Mailing address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-4521
(320) 634-2262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44463
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-10120
MEDICA
—
01
—
01-10121
MEDICA
—
01
—
01-10122
MEDICA
—
01
—
1032853
PREFERRED ONE
—
01
—
133M5MO
BLUE CROSS
MN
01
—
142928
UCARE
—
01
—
1705983
ARAZ
—
01
—
39-44354
MEDICA
—
01
—
HP36961
HEALTH PARTNERS
—
Enumeration date
07/27/2006
Last updated
07/08/2007
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