NPI 1831267467

Justin Todd Ostrem, DDS

Practitioner General Practice Physician Plymouth, MN

Practice location

Address: 9655 Schmidt Lake Rd STE 200, Plymouth, MN 55442-4530
Phone: (763) 536-1272
Fax: (763) 536-1387
Mailing address: 4600 Lake Rd Ave, Robbinsdale, MN 55422

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 11722 (MN)

Other General Practice providers in Minnesota →

Registry record

NPI: 1831267467
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2006
Record last updated: 4 Dec 2019

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.