Individual
DENNIS TAYLOR JORGENSON-RATHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11091 ULYSSES ST NE STE 100, BLAINE, MN 55434-4238
(612) 879-1000
(612) 879-0722
Mailing address
3601 MINNESOTA DRIVE SUITE 200, BLOOMINGTON, MN 55435
(612) 879-1000
(612) 879-9116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13207
MN
Other
Enumeration date
10/30/2019
Last updated
08/23/2024
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