1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Internal Medicine
  6. NPI Profile

JEANNETTE STAUBUS RISDAHL MD
NPI 1114099678
Internal Medicine in Minneapolis, MN

Active since November 13, 2006
410 CHURCH ST SE, MINNEAPOLIS, MN 55455(612) 625-8400(612) 625-1434 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeannette Staubus Risdahl Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANNETTE STAUBUS RISDAHL MD (NPI 1114099678) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (31840) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1114099678
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJEANNETTE STAUBUS RISDAHLCredential: MD
Location Address410 CHURCH ST SEMinneapolis, MN 55455-0340
Mailing Address410 Church St SeMinneapolis, MN 55455-0340 · (612) 625-8400 · Fax (612) 625-1434
Phone(612) 625-8400
Fax(612) 625-1434
Sole ProprietorYes
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114099678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 31840
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
410 CHURCH ST SE, Minneapolis, MN 55455
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINE85024MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. STEPHANIE GRADY PA & NP
Family Medicine
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2612
RICHARD JON FEIST MD
Family Medicine
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
REGENTS OF THE UNIVERSITY OF MINNESOTA
Clinic/Center (Student Health)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
JEREMY ADAM GOLDBERG LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-1444
DR. SABA GHAZIMOGHADAM PH.D.
Psychologist (Counseling)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
JOY L JOHNSON-LIND LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
MARY KATHERINE UTZ LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-9194
MARILYN SUSAN JOSEPH MD
Obstetrics & Gynecology
410 CHURCH ST SE, BOYNTON HEALTH SERVICE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5187

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeannette Risdahl's NPI number?

The NPI number for Jeannette Risdahl is 1114099678. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Jeannette Risdahl located?

Jeannette Risdahl practices at 410 Church St SE, Minneapolis, MN 55455. The listed phone number is (612) 625-8400.

What is Jeannette Risdahl's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jeannette Risdahl was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.