Individual provider · NPI-1
Jodi M Blustin, MD
Hospitalist · Robbinsdale, MN
NPI number1356606982
StatusActive
Last updated in NPPESJun 27, 2018
Details
- NPI
- 1356606982
- Entity type
- Individual (NPI-1)
- Name
- Jodi M Blustin
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2012
- Last updated
- Jun 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 60679 | MN | Yes |
| 207Q00000X | Family Medicine | 60679 | MN |
Practice location
3300 Oakdale Ave NRobbinsdale, MN 55422
Phone 763-520-5200
Mailing address
3300 Oakdale Ave NRobbinsdale, MN 55422-2926
Phone 763-520-5200
Other practice locations
1020 W Broadway Ave
Minneapolis, MN 55411-2504
Minneapolis, MN 55411-2504
Phone 612-302-8200
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