Provider Demographics
NPI:1841308772
Name:SKOGERBOE, ROLF N (MD)
Entity type:Individual
Prefix:DR
First Name:ROLF
Middle Name:N
Last Name:SKOGERBOE
Suffix:
Gender:M
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 1:6341 UNIVERSITY AVE NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-4946
Practice Address - Country:US
Practice Address - Phone:763-572-5710
Practice Address - Fax:763-586-5888
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN26077207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1008802OtherMEDICA
MNHP19897OtherHEALTHPARTNERS
MN4044506OtherAETNA INS
MN20959OtherAMERICA'S PPO
MN1000875OtherPREFERRED ONE
MN6T462SKOtherBCBS OF MN
MN107320OtherUCARE MN
MN1008802OtherMEDICA