# OCCUPATIONAL MEDICINE CONSULTANTS, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962624437
- **Authorized official:** DR. THOMAS C JETZER MD (PRESIDENT)
- **Authorized official phone:** (952) 920-5663

## Contact information

- **Practice address:** 6515 BARRIE ROAD, SUITE 150, EDINA, MN 55435
- **Practice address phone:** (952) 920-5663
- **Practice address fax:** (952) 928-9006
- **Mailing address:** PO BOX 380, LONG LAKE, MN 55356-0380
- **Mailing address phone:** (952) 920-5663
- **Mailing address fax:** (952) 928-9006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 08/22/2020