Individual
JAYSON ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(218) 407-1800
Mailing address
2370 CAROL DR NE, BEMIDJI, MN 56601-5265
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
4159
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4159
MINNESOTA BOARD OF MEDICAL PRACTICE
MN
Enumeration date
04/06/2020
Last updated
04/06/2020
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