Individual
JADE MICHAEL OBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5222
(952) 993-6499
Mailing address
8170 33RD AVE S # MS 2110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0411
MN
Other
Enumeration date
09/17/2012
Last updated
03/08/2021
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