Provider Demographics
NPI:1376535906
Name:FALK, ROBERT TR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TR
Last Name:FALK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7373 FRANCE AVE S
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4534
Mailing Address - Country:US
Mailing Address - Phone:952-428-0200
Mailing Address - Fax:952-428-0099
Practice Address - Street 1:7373 FRANCE AVE SOUTH
Practice Address - Street 2:STE. 201
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-1455
Practice Address - Country:US
Practice Address - Phone:952-428-0200
Practice Address - Fax:952-428-0099
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2011-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN25639207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN606202400Medicaid
080011472Medicare ID - Type Unspecified
A95474Medicare UPIN