Individual
JENNIFER SACKRISON METHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 NICOLLET MALL, SUITE 400, MINNEAPOLIS, MN 55402-2500
(612) 333-2503
Mailing address
801 NICOLLET MALL, SUITE 400, MINNEAPOLIS, MN 55402-2500
(612) 333-2503
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
60829
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60829
STATE LICENSE
MN
Enumeration date
04/11/2012
Last updated
08/12/2016
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