Individual
JENNIFER A NAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
24760 HOSPITAL ROAD, RED LAKE, MN 56671
(218) 679-3912
(817) 579-3969
Mailing address
215 PAUL BUNYAN DR NW # 279, BEMIDJI, MN 56601-2433
(817) 679-3912
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
61788
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01253772
AMERIGROUP
TX
01
—
8CC832
BCBS
TX
Enumeration date
01/04/2007
Last updated
07/16/2024
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