MR. Alan Divine, M.D.

NPI #1104825280 in Minneapolis, Minnesota

Provider Information

NPI Number: 1104825280
Entity Type: Individual
Name: MR. Alan Divine, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 20, 2005
Last Updated: Nov 10, 2020

Practice Location

Address: 825 S 8TH ST
Address 2: PARKSIDE PROFESSIONAL BLDG., STE 600
City: Minneapolis
State: Minnesota
ZIP Code: 55404-1208
Phone: (612) 339-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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