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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEANNETTE STAUBUS RISDAHL, MD

Active Sole Proprietor

JEANNETTE STAUBUS RISDAHL, MD is a Internal Medicine healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1114099678 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · MINNEAPOLIS, MN

Registration Details

NPI Number
1114099678
Provider Type
Individual
Gender
Female
NPI Issued
Nov 13, 2006 (19.779208836541 yrs)
Last Updated
Jul 8, 2007
License
31840 (MN)
Sole Proprietor
Yes

Practice Information

Address
410 CHURCH ST SE
MINNEAPOLIS, MN, 554550340
Browse MN providers · Browse ZIP 55455
Phone
6126258400
Fax
6126251434
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in MINNEAPOLIS, MN

Name Credential NPI
BRUCE MEYER MD 1154326635
MR. ALAN DIVINE M.D. 1104825280
VEETI TANDON MD 1952302085
DR. ERIK JOHN STORLIE M.D. 1770565194
DALE R PETERSEN 1841274255
DR. GERALD ERNEST SWANSON M.D. 1609850510
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.