Individual
ROBERT D ABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2980 130TH ST E, DUNDAS, MN 55019-4231
(507) 646-8964
Mailing address
PO BOX 731, NORTHFIELD, MN 55057-0731
(507) 646-8964
(952) 516-5300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22806
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110164898
RR MEDICARE
MN
01
—
125546
UCARE
MN
05
—
1972349
—
IA
01
—
48017AB
BCBS MPIN
MN
05
—
614385700
—
MN
Enumeration date
10/03/2006
Last updated
10/11/2012
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