Individual
ROBERT HLAVACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2500 COMO AVE, SAINT PAUL, MN 55108-1460
(651) 641-6200
Mailing address
PO BOX 1309, MINNEAPOLIS, MN 55440-1309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59427
MN
Other
Enumeration date
04/27/2014
Last updated
07/26/2017
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