MEDICARE: JANINE PINGEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	40511	MN

General Provider Information

NPI Number	:	1235197054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANINE PINGEL MD

Provider Business Mailing Address
First Line	:	1440 DUCKWOOD DR
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55122-1451
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1440 DUCKWOOD DR
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55122-1451
Country	:	US
Telephone Number	:	651-406-8880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	05/12/2008

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