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Individual

DR. JESSIE LEE KERNS ROSKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 251-2700
Mailing address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 251-2700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53744
MN
208M00000X
Hospitalist Physician
Primary
53744
MN

Other

Enumeration date
07/19/2009
Last updated
10/30/2015
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