Individual
JON D FUERSTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3799
(612) 863-4000
Mailing address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
45337
MN
207P00000X
Emergency Medicine Physician
46821
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
45337
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887922200
—
MN
Enumeration date
03/07/2006
Last updated
02/21/2022
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