Individual
DR. JEFFREY T KROGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 E FAIRVIEW AVE, OLIVIA, MN 56277-4213
(320) 523-1460
(320) 523-8349
Mailing address
611 E FAIRVIEW AVE, OLIVIA, MN 56277-4213
(320) 523-1460
(320) 523-8349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26657
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032708500
—
MN
Enumeration date
02/23/2006
Last updated
04/02/2015
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