Individual
JENNIFER J. KRIEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
17210 KENYON AVE, LAKEVILLE, MN 55044-6903
(651) 968-5201
(651) 968-5903
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13825
MN
363A00000X
Physician Assistant
2709
WI
363AS0400X
Surgical Physician Assistant
001726
IA
Other
Enumeration date
06/28/2006
Last updated
07/13/2023
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