Individual
JENNIFER ANN PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 E 34TH ST, HIBBING, MN 55746-5109
(218) 263-1000
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46689
MN
Other
Enumeration date
08/21/2006
Last updated
05/09/2011
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