Individual provider · Type 1 NPI
Justin Todd Ostrem, DDS
General Practice Physician · Plymouth, MN
NPI number
1831267467
Active
Practice location
9655 Schmidt Lake Rd Ste 200
Plymouth, MN 55442-4530
Fax (763) 536-1387
Mailing address
4600 Lake Rd Ave
Robbinsdale, MN 55422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 11722 (MN) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
Other general practice physician providers in Plymouth
About NPI 1831267467
Justin Todd Ostrem, DDS's National Provider Identifier is 1831267467, issued on Dec 1, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Plymouth, MN. The record was last updated on Dec 4, 2019.