Whalio Doctors

NPI 1093073868

Johanna Dijkstal Beebe, MD

Practitioner Neuro-ophthalmology Physician St Louis Park, MN

Practice location

Address
3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503
Phone
(952) 993-3150
Mailing address
8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Registered specialties (4)

Neuro-ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207WX0109X Licence 62075 (MN)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence R-9642 (IA)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 62075 (MN)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence MD-43469 (IA)

Registry record

NPI
1093073868
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Apr 2012
Record last updated
8 Jan 2024

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.