IndividualActive
Alan Divine, M.D.
NPI 1104825280 · Internal Medicine Physician · Minneapolis, MN
Provider details
- NPI number
- 1104825280
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 26378 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
825 S 8th St
Parkside Professional Bldg., Ste 600
Minneapolis, MN 55404-1208
Phone: (612) 339-7171
Fax: (612) 339-2885
Approximate (ZIP-level) locationGet directions
Mailing address
825 S 8th St
Minneapolis, MN 55404-1208
Registry dates
- Enumerated
- 2005-07-20
- Last updated
- 2020-11-10
- Certified
- 2020-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.