Individual
JAMIE MARIE DOCKENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 33RD ST S, SAINT CLOUD, MN 56301-9668
(320) 251-8181
Mailing address
1301 33RD ST S, SAINT CLOUD, MN 56301-9668
(320) 251-8181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/14/2015
Last updated
04/01/2016
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