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Individual

JOSEPH R OFSTEDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
516 DELAWARE ST SE, PWB THIRD FLOOR, CLINIC 3A, MINNEAPOLIS, MN 55455-0356
(612) 884-0999
Mailing address
420 DELAWARE STREET SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 884-0999

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34655
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-05765
MEDICA PRIMARY
MN
01
1000588
PREFERRED ONE
MN
01
102662
UCARE
MN
01
21219
ARAZ
MN
01
40G27OF
BLUE CROSS BLUE SHIELD
MN
01
HP11141
HEALTH PARTNERS
MN
Enumeration date
11/03/2006
Last updated
07/08/2007
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