Individual
DR. JACOB DAVID KASTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-6353
Mailing address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-6353
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
71921-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2017
Last updated
06/04/2022
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