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Individual

JEFFREY M. TOONSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LP

Contact information

Practice address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
(218) 326-1274
Mailing address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
(218) 326-1274

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3523
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05Q15TO
BCBS OF MINNESOTA
MN
01
1013884
PREFERRED ONE
MN
01
12023500
IMCARE
MN
01
62 42763
UNITED BEHAVIORAL SYSTEMS
MN
Enumeration date
05/07/2007
Last updated
07/08/2007
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