Streitz, David John

Streitz, David John is an individual health care provider with primary practice located at 500 Osborne Rd Ne Suite 240, Fridley MN 55432-2765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Streitz, David John can be contacted via phone (763) 783-8582.

Contact Information

Primary practice address
500 Osborne Rd Ne Suite 240 Fridley MN 55432-2765
Fax: (763) 783-8616
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 41094 Minnesota

Profile Details

NPI number 1326035379
LBN Legal business name Streitz, David John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Sep 10th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326035379 NPPES
Minnesota MEDICAID 452736400

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