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Contact Information

JONATHAN PRIBILA, MD, PHD
3900 PARK NICOLLET BLVD
SAINT LOUIS PARK, MN55416-2503
 Phone: 952-993-3150
 Fax: 952-993-0288
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JONATHAN PRIBILA · (Male)

NPI Number 1407974561
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 03/27/2007
Last updated 03/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 52517
Hospital affiliation(s) Not Available
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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