Individual
SCOTT FREDERICK JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1021 BANDANA BLVD E, SUITE 100, SAINT PAUL, MN 55108-5113
(651) 241-9700
(651) 241-9678
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
659
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
659
MN
Other
Enumeration date
04/12/2006
Last updated
06/16/2018
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