Provider Demographics
NPI:1407879158
Name:ROBIN, STEVEN B (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:ROBIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4100 BERKSHIRE LN N STE 100
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-3836
Mailing Address - Country:US
Mailing Address - Phone:952-540-0001
Mailing Address - Fax:952-540-0002
Practice Address - Street 1:4100 BERKSHIRE LN N STE 100
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-3836
Practice Address - Country:US
Practice Address - Phone:952-540-0001
Practice Address - Fax:952-540-0002
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2018-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN36694207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0801449OtherMEDICA
MN105708OtherUCARE MN
MN453G8ROOtherBLUE SHIELD BLUE PLUS
MNA653510000143OtherPREFERRED ONE
MN0801449OtherSELECTCARE
MNHP14258OtherHEALTHPARTNERS
MN473063100Medicaid