Provider Demographics
NPI:1538222450
Name:RECHSTEINER, NORMAN HANS (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:HANS
Last Name:RECHSTEINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 EXCELSIOR BLVD STE 712
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-2906
Mailing Address - Country:US
Mailing Address - Phone:029-641-5257
Mailing Address - Fax:
Practice Address - Street 1:2820 INGLEWOOD AVE S
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-4112
Practice Address - Country:US
Practice Address - Phone:914-589-5503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2187-020208600000X
MN41223207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30376000Medicaid
MN1538222450Medicaid
WI000012038Medicare ID - Type Unspecified
WI020051420Medicare PIN