Dr. Jacob David Kastner, D.O.
Physical Medicine & Rehabilitation, Sports Medicine in Princeton, MN. Individual provider (NPI-1).
NPI number1124569413
StatusActive
Last updated in NPPESJun 4, 2022
Details
- NPI
- 1124569413
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob David Kastner
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2017
- Certification date
- Jun 4, 2022
- Last updated
- Jun 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | 71921-21 | WI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
911 Northland DrPrinceton, MN 55371-2172
Phone 763-389-6353
Mailing address
911 Northland DrPrinceton, MN 55371-2172
Phone 763-389-6353
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