Provider Demographics
NPI:1336252899
Name:ANSEL, HOWARD JUSTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:JUSTIN
Last Name:ANSEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 VETERANS DR
Mailing Address - Street 2:MINNEAPOLIS VA MEDICAL CENTER DIAGNOSTIC RADIOLOGY 114
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2309
Mailing Address - Country:US
Mailing Address - Phone:612-725-2038
Mailing Address - Fax:612-467-5635
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:MINNEAPOLIS VA MEDICAL CENTER (114)
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-725-2038
Practice Address - Fax:612-467-5635
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-13
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Provider Licenses
StateLicense IDTaxonomies
MN187042085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology