Provider Demographics
NPI:1558354217
Name:WARSHAWSKY, ROBERT S (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:S
Last Name:WARSHAWSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:825 NICOLLET MALL
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2606
Mailing Address - Country:US
Mailing Address - Phone:612-338-4861
Mailing Address - Fax:612-333-8306
Practice Address - Street 1:825 NICOLLET MALL
Practice Address - Street 2:SUITE 2000
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2606
Practice Address - Country:US
Practice Address - Phone:612-338-4861
Practice Address - Fax:612-333-8306
Is Sole Proprietor?:No
Enumeration Date:2005-08-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN21544207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0822546OtherMEDICACHOICE
MN0822546OtherSELECTCARE
MN78001OtherPREFERRED ONE
MN0800038OtherMEDICA PRIMARY
MN7D647WAOtherBXBS
MN31277800Medicaid
MN200002101436OtherMETROPOLITAN HLTH PLAN
MNB58449OtherPATIENT CHOICE WAUSAU
MNHP14646OtherHEALTHPARTNERS
MNB58449Medicare UPIN
MN1021630002Medicare ID - Type UnspecifiedADMINISTAR DMEB