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Kristen Bastug, MD
Pediatrics Physician in Minneapolis, Minnesota
NPI 1346806585

Kristen Bastug is a Pediatrics Physician based in Minneapolis, MN. Kristen Bastug practices in Minneapolis, MN and has the professional credentials of MD. The NPI Number for Kristen Bastug is 1346806585 and holds a License No. 30076 (Minnesota).

The current practice location address for Kristen Bastug is 2450 Riverside Ave, Minneapolis, MN and can be reached out via phone at 612-626-5637.

Location: 2450 Riverside Ave, Minneapolis, MN, 55414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346806585
Provider Name
Kristen Bastug
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2450 Riverside Ave, Minneapolis, MN, 55414
Phone Number
612-626-5637
Fax Number
Provider Enumeration Date
05/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2450 Riverside Ave
City
Minneapolis
State
Minnesota
Zip
55454-1450
Phone Number
612-626-5637
Fax Number
person
Provider Business Mailing Address Details
Address
2450 Riverside Ave
City
Minneapolis
State
Minnesota
Zip
55454-1450
Phone Number
612-626-5637
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
72420 (Minnesota)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
30076 (Minnesota)
Definition
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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