Provider Demographics
NPI:1124343314
Name:ROBAK, STEVEN PAUL (CPNP)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:PAUL
Last Name:ROBAK
Suffix:
Gender:M
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7025 FRANCE AVE S
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4202
Mailing Address - Country:US
Mailing Address - Phone:952-927-7337
Mailing Address - Fax:952-927-8610
Practice Address - Street 1:7025 FRANCE AVE S
Practice Address - Street 2:SUITE 100
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4202
Practice Address - Country:US
Practice Address - Phone:952-927-7337
Practice Address - Fax:952-927-8610
Is Sole Proprietor?:No
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR106666-1208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice