Provider Demographics
NPI:1184707002
Name:ROBINER, WILLIAM N (PHD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:N
Last Name:ROBINER
Suffix:
Gender:M
Credentials:PHD
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 STREET SE
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:FM
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-884-0999
Mailing Address - Fax:
Practice Address - Street 1:516 DELAWARE ST SE
Practice Address - Street 2:PWB THIRD FLOOR, CLINIC 3A
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0356
Practice Address - Country:US
Practice Address - Phone:612-884-0999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP0379103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND10387Medicaid
MNHP21952OtherHEALTH PARTNERS
MN10011285OtherPREFERRED ONE
WI39032300Medicaid
MN770132OtherARAZ
SD7777470Medicaid
MN102830OtherUCARE
MN14R45ROOtherBLUE CROSS BLUE SHIELD
MN61-03264OtherMEDICA CHOICE
MN61-03264OtherMEDICA PRIMARY
MN10011285OtherPREFERRED ONE