Individual
JOHN CONIARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8555
Mailing address
800 MEDICAL CENTER DR, PO BOX 800, FAIRMONT, MN 56031-4575
(507) 238-8555
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
45332
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-03274
MEDICA
MN
01
—
1748915
ARAZ
MN
05
—
175140900
—
MN
01
—
464S8CO
BLUE CROSS
MN
05
—
464S8CO
—
MN
05
—
559674
—
MN
01
—
7423
AVERA
MN
01
—
A063
CHAMPUS
MN
01
—
HP37224
HEALTHPARTNERS
MN
01
—
MH9041033046
PREFERREDONE
MN
Enumeration date
12/23/2005
Last updated
07/09/2007
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