Individual
JAIME EVAN GLADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5130 FAIRVIEW BLVD STE 100, WYOMING, MN 55092-8050
(651) 439-8807
(651) 439-0232
Mailing address
5130 FAIRVIEW BLVD STE 100, WYOMING, MN 55092-8050
(651) 439-8807
(651) 439-0232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10834
MN
363A00000X
Physician Assistant
2679-023
WI
Other
Enumeration date
11/16/2010
Last updated
05/10/2021
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