Individual
DR. JASON A KALLESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 DELAWARE ST SE, MMC 381, DEPT OF FAMILY MEDICINE, MINNEAPOLIS, MN 55455-0341
(651) 226-3786
Mailing address
420 DELAWARE ST SE, MMC 381, DEPT OF FAMILY MEDICINE, MINNEAPOLIS, MN 55455-0341
(651) 226-3786
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
50871
MN
Other
Enumeration date
06/06/2008
Last updated
02/07/2014
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