Individual
JODI GREENLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-6000
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
56169
MN
Other
Enumeration date
06/29/2010
Last updated
07/29/2013
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