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Individual

TODD M SEVERNAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 240-2118
Mailing address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 240-2118

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46624
MN
208M00000X
Hospitalist Physician
Primary
46624
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0406641
MEDICA HEALTH PLANS
01
1032146
PREFERRED ONE
01
130621
UCARE
01
2121657
ARAZ GROUP AMERICAS PPO
01
312M8SE
BLUE CROSS BLUE SHIELD
01
706112900
MEDICAL ASSISTANCE MA
05
706112900
MN
01
71204
FIRST HEALTH PLAN
01
92204
ONE HEALTH PLAN GREAT WES
01
HP36739
HEALTH PARTNERS
01
P00138776
RR MEDICARE
Enumeration date
10/25/2005
Last updated
10/30/2015
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