Individual
JACOB JAMES HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
918 RAYMOND AVE APT 1, SAINT PAUL, MN 55114-1219
(218) 232-0876
Mailing address
918 RAYMOND AVE APT 1, SAINT PAUL, MN 55114-1219
(218) 232-0876
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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