MEDICARE: DR. NORMAN HANS RECHSTEINER M.D.

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	208600000X	Surgery Physician	2187-020	WI
2	207R00000X	Internal Medicine Physician	41223	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538222450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN HANS RECHSTEINER M.D.

Provider Business Mailing Address
First Line	:	5115 EXCELSIOR BLVD STE 712
Second Line	:
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55416-2906
Country	:	US
Telephone Number	:	29-641-5257
Fax Number	:

Provider Business Practice Location Address
First Line	:	2820 INGLEWOOD AVE S
Second Line	:
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55416-4112
Country	:	US
Telephone Number	:	914-589-5503
Fax Number	:

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

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	11/02/2023

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