Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason M Van Valkenburg, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093001042

Jason M Van Valkenburg, MD is a Student in an Organized Health Care Education/Training Program in Saint Paul, Minnesota. Licensed in North Dakota. Registered with an NPI since 2011.

Licensed in
ND
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

640 Jackson St # MC11102F
Saint Paul, MN 55101-2502
Phone: (651) 254-3666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 13270 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093001042
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2011
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023
Mailing address640 Jackson St # Mc11102f, Saint Paul, MN 55101-2502

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