Provider Demographics
NPI:1497845861
Name:KRATZKE, ROBERT ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ARTHUR
Last Name:KRATZKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE ST SE
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-625-5411
Mailing Address - Fax:
Practice Address - Street 1:424 HARVARD ST SE
Practice Address - Street 2:MASONIC CANCER CENTER, FIRST FLOOR, SUITE M100
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0362
Practice Address - Country:US
Practice Address - Phone:612-625-5411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN40486207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN726547OtherFAIRVIEW
MNK003OtherCHAMPUS
MN36-00013OtherMEDICA-PRIMARY
MN604R2KROtherBCBS
MT0079645Medicaid
IA0581553Medicaid
2216697OtherARAZ
WI34565800Medicaid
MNP00230358OtherRR MEDICARE
MN1042019OtherPREFERRED ONE
MN36-00519OtherMEDICA-CHOICE
MN320403100Medicaid
MNHP45307OtherHEALTH PARTNERS
MN132242OtherUCARE
MN132242OtherUCARE
MNP00230358OtherRR MEDICARE