Individual
HAYLEY JEANMARIE SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 DELAWARE ST SE, MMC 913, MINNEAPOLIS, MN 55455
(612) 624-0990
Mailing address
420 DELAWARE STREET SE, MMC 913, MINNEAPOLIS, MN 55455-0341
(612) 624-0990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
75203
MN
208000000X
Pediatrics Physician
75203
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2021
Last updated
03/04/2025
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