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:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 207K00000X | Physicians Allergy & Immunology | MN | 46816 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
701140700 | MN | 05 |
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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