Organization
OCCUPATIONAL MEDICINE CONSULTANTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS C JETZER MD (PRESIDENT)
(952) 920-5663
Entity
Organization
Contact information
Practice address
6515 BARRIE ROAD, SUITE 150, EDINA, MN 55435
(952) 920-5663
(952) 928-9006
Mailing address
PO BOX 380, LONG LAKE, MN 55356-0380
(952) 920-5663
(952) 928-9006
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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