Provider Demographics
NPI:1215053814
Name:HALBERG, JULIA UNDINE (MD, MPH, MS)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:UNDINE
Last Name:HALBERG
Suffix:
Gender:F
Credentials:MD, MPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NUMBER 1 GENERAL MILLS BLVD
Mailing Address - Street 2:N02-A
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55426
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 GENERAL MILLS BLVD
Practice Address - Street 2:N02-A
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55426-1347
Practice Address - Country:US
Practice Address - Phone:763-764-7174
Practice Address - Fax:763-764-6180
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN030708207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine