Provider Demographics
NPI:1386745933
Name:POWER, DAVID V (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:V
Last Name:POWER
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 RICE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103-2148
Mailing Address - Country:US
Mailing Address - Phone:651-227-6551
Mailing Address - Fax:651-665-0684
Practice Address - Street 1:580 RICE ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55103-2148
Practice Address - Country:US
Practice Address - Phone:651-227-6551
Practice Address - Fax:651-665-0684
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN38893207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN768309OtherAMERICA'S PPO NUMBER
MN83A65POOtherBCBS MN PROVIDER NUMBER
MNHP25672OtherHEALTHPARTNERS PROVIDER #
MN122129OtherUCARE PROVIDER NUMBER
WI34290300Medicaid
IA1536755Medicaid
MN1015778OtherPREFERRED ONE NUMBER
MN01-10323OtherMEDICA CHOICE/DUAL/PTCH #
MN1015778OtherPREFERRED ONE NUMBER