Individual
DR. JONATHAN VONDERHAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 232-3000
Mailing address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(212) 423-6684
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01078043A
IN
207P00000X
Emergency Medicine Physician
Primary
109178
MN
Other
Enumeration date
12/11/2014
Last updated
07/11/2022
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