Individual
JASON JAMES RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 E 28TH ST, SUITE 300, MINNEAPOLIS, MN 55407-1139
(612) 863-6800
Mailing address
8351 AMSDEN RIDGE DR, BLOOMINGTON, MN 55438-1414
(916) 709-1622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
43356
KY
208600000X
Surgery Physician
43356
KY
208600000X
Surgery Physician
Primary
60101
MN
208600000X
Surgery Physician
A88529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
614122200
DEPT. OF LABOR
KY
05
—
7100119980
—
KY
Enumeration date
11/15/2005
Last updated
12/13/2021
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