Individual
MRS. SARAH ELIZABETH DODGE JERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1212 7TH ST NW, ROCHESTER, MN 55901-1733
(507) 292-8774
Mailing address
1212 7TH ST NW, ROCHESTER, MN 55901-1733
(507) 292-8774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001906
IA
363A00000X
Physician Assistant
Primary
11029
MN
Other
Enumeration date
07/01/2008
Last updated
05/16/2013
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