Individual
DR. JONATHAN PRIBILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3900 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2503
(952) 993-3150
(952) 993-0288
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
52517
MN
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
52517
MN
Other
Enumeration date
03/27/2007
Last updated
03/11/2021
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