Alan Divine is a Internal Medicine in Minneapolis, Minnesota. Alan Divine practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Alan Divine is 1104825280. The last update date is 2020-11-10.
Alan Divine's current location address is 825 S 8th St, Minneapolis, Minnesota. You can contact this provider via phone number 6123397171 and fax number 6123392885. The mailing address for Alan Divine is 825 S 8th St, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan Divine |
|---|---|
| Address | 825 S 8th St, Minneapolis, Minnesota |
| Phone Number | 6123397171 |
| Fax Number | 6123392885 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104825280 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2020-11-10 |
Provider Mailing Address Detail
| Address | 825 S 8th St |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554041208 |
| Phone Number | 6123397171 |
| Fax Number | 6123392885 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 26378 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 401146 | MN | MEDICA | |
| 876265100 | MN | -- | |
| HP19647 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique identifier code issued to Alan Divine by the Centers for Medicare & Medicaid Services (CMS)?
The Alan Divine has been assigned the NPI (National Provider Identifier) 1104825280. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Alan Divine's physical address?
The Alan Divine is physically located at 825 S 8Th St, in the city of Minneapolis, MN, with the postal code 554041208.
What is Alan Divine's area of expertise and its corresponding taxonomy classification?
The Alan Divine's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Alan Divine receive the assignment of its 1104825280 from the Centers for Medicare & Medicaid Services?
The Alan Divine was issued its 1104825280 by the Centers for Medicare & Medicaid Services on 2005-07-20.
As of what date were the details related to Alan Divine most recently updated or revised?
The information pertaining to Alan Divine, including its address, specialty, and other relevant details, was last updated or revised on 2020-11-10.