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Individual
TODD A JORGENSON
Active
Individual
TODD A JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36316
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
36316
MN
Other
Enumeration date
05/08/2006
Last updated
07/12/2018
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