Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Bastug, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346806585

Kristen Bastug, MD is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019
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

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 626-5637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • General Pediatrics And Adolescent Health, 1932k, Minneapolis, MN 55414 — (612) 626-3761

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 72420 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 30076 (MN)

Record details

NPI number1346806585
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 14, 2019
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022

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