Individual
MICHAEL J JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2480 WHITE BEAR AVE N STE 104, MAPLEWOOD, MN 55109-4568
(612) 444-3247
(612) 888-9247
Mailing address
2480 WHITE BEAR AVE N STE 104, MAPLEWOOD, MN 55109-4568
(612) 444-3247
(612) 888-9247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200578
NCCPA
—
Enumeration date
02/17/2023
Last updated
07/01/2025
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