Jennifer S Oberstar
Family Doctor Family Doctor - Sports Medicine
909 Fulton St Se
Minneapolis
, Minnesota 55455-4800
Jennifer S Oberstar
Family Doctor Family Doctor - Sports Medicine
909 Fulton St Se
Minneapolis
, Minnesota 55455-4800
(612) 672-7422
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Jennifer S Oberstar
- 909 Fulton St Se
- Minneapolis, MN
- Zip : 55455-4800
- Phone : (612) 672-7422
Second Address
- Jennifer S Oberstar
- 909 Fulton St Se
- Minneapolis, MN
- Zip : 55455-4800
- Phone : (612) 672-7422
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 44234 | MN |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 44234 | MN |
National Provider Identifier
| NPI | 1073515466 |
|---|---|
| Provider Name | Jennifer S Oberstar |
| First Address | Minneapolis, MN 55455-4800 |
| Second Address | Minneapolis, MN 55455-4800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2005 |
| Last Update Date | 20/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 126638100 | (05) | MN |
| H89305 | (02) |
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.