Individual
JESSICA M GARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(651) 681-0086
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(651) 681-0086
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
07/06/2022
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