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Individual

JONATHAN VAN ARSDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 DELLWOOD ST S, CAMBRIDGE, MN 55008-1920
(763) 689-8700
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56755
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001-0104952
MEDICA
01
1225398498
BCBS
MN
05
1225398498
MN
01
P01224929
RR MEDICARE
Enumeration date
05/22/2012
Last updated
11/10/2020
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