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Contact Information

JASON A KALLESTAD, MD
420 DELAWARE ST SE
MMC 381, DEPT OF FAMILY MEDICINE
MINNEAPOLIS, MN55455-0341
 Phone: 651-226-3786
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JASON A KALLESTAD · (Male)

NPI Number 1164681995
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2008
Last updated 02/07/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 50871
Hospital affiliation(s)
  • RIDGEVIEW MEDICAL CENTER - (Acute Care)
    500 SOUTH MAPLE STREET
    WACONIA, MN 55387
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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