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Individual

DR. ROLF N SKOGERBOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 572-5710
(763) 586-5888
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
26077
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1000875
PREFERRED ONE
MN
01
1008802
MEDICA
MN
01
107320
UCARE MN
MN
01
20959
AMERICA'S PPO
MN
01
4044506
AETNA INS
MN
01
6T462SK
BCBS OF MN
MN
01
HP19897
HEALTHPARTNERS
MN
Enumeration date
08/29/2006
Last updated
07/09/2007
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