Individual provider · Type 1 NPI

Austin David Promersberger

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1629707567 Active

Practice location

420 Delaware Street SE, Mmc 292
Minneapolis, MN 55455

Call (612) 626-5589 Map

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XRL18678 (ND)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X33446 (MN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629707567

Austin David Promersberger's National Provider Identifier is 1629707567, issued on Jun 7, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 27, 2023.