Individual
JENNIFER S KUMASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LAKE DR E, CHANHASSEN, MN 55317-9302
(952) 993-4300
(952) 993-4320
Mailing address
300 LAKE DR E, CHANHASSEN, MN 55317-9302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17112
NH
207R00000X
Internal Medicine Physician
Primary
62052
MN
208M00000X
Hospitalist Physician
62052
MN
Other
Enumeration date
04/27/2012
Last updated
03/09/2020
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