Provider Demographics
NPI:1235109703
Name:PARKER, ROBIN JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:JOHN
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7595 ANAGRAM DR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-7399
Mailing Address - Country:US
Mailing Address - Phone:612-573-2200
Mailing Address - Fax:612-573-2274
Practice Address - Street 1:7595 ANAGRAM DR
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7399
Practice Address - Country:US
Practice Address - Phone:612-573-2200
Practice Address - Fax:612-573-2274
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2022-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN500962085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN410974675OtherAMERICA'S PPO
MN519407000Medicaid
MN9257671OtherDAKOTA CARE
WI34984500Medicaid
MN21M99PAOtherBLUE CROSS BLUE SHIEL OF MINNESOTA
MN960371052726OtherPREFERRED ONE
MNHP87198OtherHEALTHPARTNERS
MN255466OtherMIDLANDS CHOICE INC
WI006356135Medicare PIN
MN21M99PAOtherBLUE CROSS BLUE SHIEL OF MINNESOTA
WI007204070Medicare PIN
MN255466OtherMIDLANDS CHOICE INC
WI34984500Medicaid
MN410974675OtherAMERICA'S PPO