Individual
DAVID J ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 240-2205
(320) 229-5174
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 240-2205
(320) 229-5174
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
38900
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033448
PREFERRED ONE
—
01
—
2114016
FIRST HEALTH PLAN
—
01
—
2900214
MEDICA HEALTH PLANS
—
01
—
311325600
MEDICAL ASSISTANCE
—
01
—
31T17RO
BLUE CROSS BLUE SHIELD
—
01
—
491R2RO
BLUE CROSS BLUE SHIELD
—
01
—
596608
U CARE
—
01
—
COMP
MMSI
—
01
—
HP27097
HEALTH PARTNERS
—
Enumeration date
11/11/2005
Last updated
12/05/2011
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