Individual
THOMAS CARL JETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
6515 BARRIE RD, SUITE 150, EDINA, MN 55435-2305
(952) 920-5663
(952) 924-1659
Mailing address
6515 BARRIE RD, SUITE 150, EDINA, MN 55435-2305
(952) 920-5663
(952) 924-1659
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MN22172
MN
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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