Individual
THERESA S. COVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9855 HOSPITAL DR STE 275, MAPLE GROVE, MN 55369-4778
(952) 993-3282
(952) 993-1425
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(952) 993-1440
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
46745
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
896428900
—
MN
Enumeration date
01/06/2006
Last updated
02/29/2016
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