Individual
JEFFREY A PASTIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15290 PENNOCK LN, APPLE VALLEY, MN 55124-7163
(952) 853-8800
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
(952) 853-8800
(612) 371-5447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34058
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398303000
—
MN
Enumeration date
02/23/2006
Last updated
09/14/2020
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