Laure Jo Waschbusch
Obstetrician & Gynecologist
2603 White Bear Ave N
Maplewood
, Minnesota 55109-5110
Laure Jo Waschbusch
Obstetrician & Gynecologist
2603 White Bear Ave N
Maplewood
, Minnesota 55109-5110
(651) 348-8783
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Laure Jo Waschbusch
- 2603 White Bear Ave N
- Maplewood, MN
- Zip : 55109-5110
- Fax : (651) 348-8783
- Phone : (651) 600-3035
Second Address
- Laure Jo Waschbusch
- 2603 White Bear Ave N
- Maplewood, MN
- Zip : 55109-5110
- Phone : (651) 600-3035
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | MN40196 | MN |
National Provider Identifier
| NPI | 1003839853 |
|---|---|
| Provider Name | Laure Jo Waschbusch |
| First Address | Maplewood, MN 55109-5110 |
| Second Address | Maplewood, MN 55109-5110 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 935019500 | (05) | MN |
| G51373 | (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.