Dr. James Immanuel Midtling
Oral and Maxillofacial Pathology
155 Wabasha St S Suite #111
Saint Paul
, Minnesota 55107-1801
Dr. James Immanuel Midtling
Oral and Maxillofacial Pathology
155 Wabasha St S Suite #111
Saint Paul
, Minnesota 55107-1801
(651) 215-3189
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. James Immanuel Midtling
- 155 Wabasha St S Suite #111
- Saint Paul, MN
- Zip : 55107-1801
- Fax : (651) 215-3189
- Phone : (651) 222-6396
Second Address
- Dr. James Immanuel Midtling
- 155 Wabasha St S Suite #111
- Saint Paul, MN
- Zip : 55107-1801
- Fax : (651) 215-3189
- Phone : (651) 222-6396
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 10555 | MN |
National Provider Identifier
| NPI | 1194702647 |
|---|---|
| Provider Name | Dr. James Immanuel Midtling |
| First Address | Saint Paul, MN 55107-1801 |
| Second Address | Saint Paul, MN 55107-1801 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2005 |
| Last Update Date | 31/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| MJ1124 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.