Basic Information
Provider Information
NPI: 1548606114
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CATES
FirstName: ROBERT
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 1ST ST SW
Address2:  
City: ROCHESTER
State: MN
PostalCode: 559050001
CountryCode: US
TelephoneNumber: 5072842511
FaxNumber:  
Practice Location
Address1: 1000 1ST DR NW
Address2:  
City: AUSTIN
State: MN
PostalCode: 559122941
CountryCode: US
TelephoneNumber: 5074337351
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/22/2013
LastUpdateDate: 09/29/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/29/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XX0005XR-11077IAN Allopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
207X00000X57992MNY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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