Provider Demographics
NPI:1891803995
Name:ROBINSON, JILL M (MD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6401 UNIVERSITY AVE NE
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-4341
Mailing Address - Country:US
Mailing Address - Phone:763-572-5710
Mailing Address - Fax:763-571-3008
Practice Address - Street 1:4000 CENTRAL AVE NE
Practice Address - Street 2:
Practice Address - City:COLUMBIA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55421-2968
Practice Address - Country:US
Practice Address - Phone:763-572-5710
Practice Address - Fax:763-782-8100
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2012-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN46276207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1035245OtherPREFERRED ONE
MNHP39840OtherHEALTHPARTNERS
MN500004100Medicaid
MN510R9ROOtherBCBS OF MN
MN131109OtherUCARE MN
MN0120771OtherMEDICA
MN6608749OtherMEDICA URGENT CARE
MN2014146OtherAMERICA'S PPO
MN7220540OtherAETNA INS
MN510R9ROOtherBCBS OF MN
MNH96737Medicare UPIN
MN500004100Medicaid