Individual
JESSICA LEIGH MINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
W62N179 WASHINGTON AVE STE 3, CEDARBURG, WI 53012-2770
(262) 618-2228
Mailing address
W62N179 WASHINGTON AVE STE 3, CEDARBURG, WI 53012-2770
(262) 618-2228
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1084-25
WI
390200000X
Student in an Organized Health Care Education/Training Program
0116026248
VA
Other
Enumeration date
06/17/2013
Last updated
02/28/2018
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