Individual
DR. DAVID JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 THOMPSON ST, SAINT PAUL, MN 55102-2370
(651) 292-2000
(651) 292-2136
Mailing address
4801 W 81ST ST, SUITE 108, BLOOMINGTON, MN 55437-1111
(952) 837-9700
(952) 837-9701
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25865
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65793000
—
MN
Enumeration date
05/31/2006
Last updated
04/26/2019
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