Individual
JONATHAN SCOTT SELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(952) 967-5584
(651) 293-8232
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
41337
MN
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
41337
MN
2083X0100X
Occupational Medicine Physician
Primary
41337
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155194900
—
MN
Enumeration date
03/24/2006
Last updated
07/17/2023
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