Individual
JESSICA JOANNE PADNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2000
Mailing address
420 DELAWARE STREET SE, MMC 98, MINNEAPOLIS, MN 55455
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70699
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
70699
MN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/26/2019
Last updated
05/11/2023
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