Individual
JASON MICHAEL PROSTROLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1835 COUNTY ROAD C W, ROSEVILLE, MN 55113-1352
(763) 785-4300
(763) 785-7779
Mailing address
1835 COUNTY ROAD C W, ROSEVILLE, MN 55113-1352
(763) 785-4300
(763) 785-7779
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57872
MN
Other
Enumeration date
07/11/2011
Last updated
09/30/2014
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