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Individual

DR. CRESTA WEDEL JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
606 24TH AVE S STE 400, MINNEAPOLIS, MN 55454-1517
(612) 273-2223
Mailing address
720 WASHINGTON AVE SE STE 300, MINNEAPOLIS, MN 55414-2904
(612) 884-0649
(612) 676-8992

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
800888
VT
207VM0101X
Maternal & Fetal Medicine Physician
51627-20
WI
207VM0101X
Maternal & Fetal Medicine Physician
Primary
61978
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02664919
NY MEDICAID NUMBER
NY
05
1011594
VT
05
1235146556
WI
Enumeration date
08/01/2006
Last updated
01/24/2025
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