Individual
DR. GARY BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
23916
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0507277
MEDICA
MN
01
—
1008983
PREFERRED ONE
MN
05
—
30228900
—
WI
01
—
36B41BI
BCBS OF MN
MN
01
—
765068
AMERICA'S PPO
MN
01
—
HP21939
HEALTHPARTNERS
MN
Enumeration date
05/20/2006
Last updated
07/11/2007
Update your record
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