Stoltenberg, John J

Stoltenberg, John J is an individual health care provider with primary practice located at 500 Osborne Rd Ne , Fridley MN 55432-2765. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Stoltenberg, John J can be contacted via phone (952) 843-4333.

Contact Information

Primary practice address
500 Osborne Rd Ne Fridley MN 55432-2765
Fax: (952) 843-4301
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21002 Minnesota

Profile Details

NPI number 1932174422
LBN Legal business name Stoltenberg, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Apr 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932174422 NPPES
Minnesota MEDICAID 845593700

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