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Individual

JADE PODELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1200 S. COLUMBIA ROAD, GRAND FORKS, ND 58201
(701) 864-0560
Mailing address
PO BOX 860939, MINNEAPOLIS, MN 55486
(701) 780-1891

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R46267
ND

Other

Enumeration date
07/10/2023
Last updated
11/24/2025
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