| John Honebrink | |
|
1700 W Hwy 36 210 Rosedale Towers Roseville MN 55113 | |
| (651) 490-9920 | |
| (651) 578-1125 |
| Full Name | John Honebrink |
|---|---|
| Speciality | Psychologist |
| Location | 1700 W Hwy 36, Roseville, Minnesota |
| Authorized Official Name and Position | Janet Marie Meulemans (OFFICE MANAGER) |
| Authorized Official Contact | 6513077865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Honebrink 1700 W Hwy 36 210 Rosedale Towers Roseville MN 55113 Ph: (651) 490-9920 | John Honebrink 1700 W Hwy 36 210 Rosedale Towers Roseville MN 55113 Ph: (651) 490-9920 |
| NPI Number | 1073773651 |
|---|---|
| Provider Enumeration Date | 06/17/2008 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073773651 | NPI | - | NPPES |
| 173348600 | Medicaid | MN | |
| 23870HO | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP1354 (Minnesota) | Primary |
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