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JENNIFER OLDHAM MD

Allergy and Immunology

St. Paul, Minnesota

Provider NPI: 1578514212

Provider Information:
 JENNIFER  OLDHAM MD


Practice Location:
401 PHALEN BLVD - MS 41102A HEALTHPARTNERS SPECIALTY CENTER 401 ST. PAUL, MN 55130 US
Tel: 651-254-7560  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
MN46816

Other Provider Identifiers:

IssuerNumberStateType
701140700MN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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