Provider Demographics
NPI:1932161841
Name:ENGBRETSON, JON PETER (MD)
Entity type:Individual
Prefix:
First Name:JON
Middle Name:PETER
Last Name:ENGBRETSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11995 SINGLETREE LN
Mailing Address - Street 2:STE 500
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-5347
Mailing Address - Country:US
Mailing Address - Phone:952-595-1301
Mailing Address - Fax:612-294-4903
Practice Address - Street 1:LAGERSTRASSE101
Practice Address - Street 2:
Practice Address - City:ZURICH
Practice Address - State:ZURICH
Practice Address - Zip Code:8004
Practice Address - Country:CH
Practice Address - Phone:952-595-1100
Practice Address - Fax:612-294-4903
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2014-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA894922085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology