Individual
JEREMY HOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3805 WASHINGTON AVE N, MINNEAPOLIS, MN 55412-2141
(612) 248-3000
Mailing address
3805 WASHINGTON AVE N, MINNEAPOLIS, MN 55412-2141
(612) 248-3000
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
HLDG22-0003
MN
177F00000X
Lodging Provider
HLDG22-0004
MN
177F00000X
Lodging Provider
HLDG22-0005
MN
177F00000X
Lodging Provider
HLDG22-0006
MN
177F00000X
Lodging Provider
HLDG22-0007
MN
177F00000X
Lodging Provider
LIC404583
MN
177F00000X
Lodging Provider
LIC405011
MN
177F00000X
Lodging Provider
LIC405205
MN
Other
Enumeration date
11/07/2022
Last updated
01/19/2023
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