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Individual

MARK D SBOROV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6545 FRANCE AVE S, SUITE #210, EDINA, MN 55435-2131
(952) 928-2900
(952) 928-2944
Mailing address
MINNESOTA ONCOLOGY, 2550 UNIVERSITY AVE W, SAINT PAUL, MN 55114-2001
(651) 602-5311
(651) 222-6786

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
23282
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0104002
PREFERREDONE
MN
01
103020
UCARE MN
MN
01
23298
AMERICA'S PPO
MN
05
31681700
WI
01
3600786
MEDICA
MN
05
405387700
MN
01
8T411SB
BLUE CROSS BLUE SHIELD MN
MN
01
HP14322
HEALTHPARTNERS
MN
Enumeration date
03/15/2006
Last updated
02/01/2018
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