JEFFREY FORSLUND

Dr JEFFREY FORSLUND is a male medical professional, specializing in Dentist. He graduated in 1988 from University Of Minnesota School Of Dentistry.

Contact

1575 20TH ST NW
SUITE 102
FARIBAULT
MN
550212932

Tel:

JEFFREY FORSLUND Information

Npi 1528187382
Pac Id 5193045268
Professional Enrollment Id I20170601001675
Last Name FORSLUND
First Name JEFFREY
Middle Name
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduation Year 1988
Primary Specialty DENTIST
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1575 20TH ST NW
Line 2 Street Address SUITE 102
Marker Of Address Line 2 Suppression
City FARIBAULT
State MN
Zip Code 550212932
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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