Individual
ALLISON MARIE HOMSTAD JUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-2540
(320) 763-7883
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-2540
(320) 763-5749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64351
MN
390200000X
Student in an Organized Health Care Education/Training Program
64351
MN
Other
Enumeration date
06/06/2017
Last updated
10/21/2024
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