Individual
JUSTUS ONGAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R193119-4
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
4759
MN
Other
Enumeration date
10/07/2016
Last updated
03/02/2021
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