Individual
JOHN ANDREW ENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 PAHL AVE, ST ANTHONY, MN 55418-3146
(651) 295-6675
Mailing address
2500 PAHL AVE, ST ANTHONY, MN 55418-3146
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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