Individual
JENNA VAN BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 FRANCE AVE S, SUITE 150, EDINA, MN 55410-2076
(612) 626-5900
Mailing address
5050 FRANCE AVE S, SUITE 150, EDINA, MN 55410-2076
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
71380
MN
Other
Enumeration date
05/03/2016
Last updated
10/25/2024
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