# DR. JESSE BARONDEAU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760683585
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 24022 | NE | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 24022 | NE | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | SD9881 | SD | — |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 11/28/2023