Individual
JESSICA GRESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5375 EMERALD WAY, APPLE VALLEY, MN 55124-6673
(763) 218-7428
Mailing address
5375 EMERALD WAY, APPLE VALLEY, MN 55124-6673
(763) 218-7428
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
R216550-3
MN
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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