Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Halvorsen, MD

Individual provider Family Medicine Physician · NPI 1104830595

John Halvorsen, MD is a Family Medicine Physician in St Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1414 Maryland Ave E Umphysicians Phalen Village Clinic
St Paul, MN 55106
Phone: (651) 772-3461
Fax: (651) 772-5477
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20514 (MN)

Record details

NPI number1104830595
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESFebruary 7, 2013
Mailing address720 Washington Ave Se, University Of Minnesota Physicians, Minneapolis, MN 55414

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