Whalio Doctors

NPI 1043303860

Thomas Carl Jetzer, MDMPH

Practitioner Occupational Medicine Physician Edina, MN

Practice location

Address
6515 Barrie Rd Suite 150, Edina, MN 55435-2305
Phone
(952) 920-5663
Fax
(952) 924-1659

Registered specialties

Occupational Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence MN22172 (MN)

Registry record

NPI
1043303860
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Oct 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.