Individual
DR. JAYSON MARCUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
106 PIONEER TRL, CHASKA, MN 55318-1167
(952) 368-2325
Mailing address
14301 MARTIN DR, APT 620, EDEN PRAIRIE, MN 55344-3029
(701) 290-4994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3586
MN
Other
Enumeration date
07/31/2018
Last updated
08/15/2018
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