Provider Demographics
NPI:1083640833
Name:LEVY, ROBERT B (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:LEVY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1020 WEST BROADWAY AVE
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-2504
Mailing Address - Country:US
Mailing Address - Phone:612-302-8200
Mailing Address - Fax:612-521-4725
Practice Address - Street 1:1020 WEST BROADWAY AVE
Practice Address - Street 2:UNIVERSITY OF MINNESOTA
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-2504
Practice Address - Country:US
Practice Address - Phone:612-302-8200
Practice Address - Fax:612-521-4725
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2012-03-19
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Provider Licenses
StateLicense IDTaxonomies
MN52485207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine