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Individual

SUSAN W JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
124 ELTON HILLS LN NW, ROCHESTER, MN 55901-3567
(507) 282-1009
Mailing address
829 5TH ST SW, ROCHESTER, MN 55902-2981
(507) 281-4475

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
28277
MN

Other

Enumeration date
07/18/2006
Last updated
07/08/2007
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