Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 38065 | AZ |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 48598 | MN |
Y | 207YS0123X | Facial Plastic Surgeon | 48598 | MN |
NPI | 1710996921 |
---|---|
Provider Name | Dr. Jaspreet K Prischmann |
First Address | Edina, MN 55436-2316 |
Second Address | Edina, MN 55436-2316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 26/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
966487000 | (05) | MN |
I57725 | (02) | |
P00632050 | RAILROAD MEDICARE (01) | MN |