Individual
JACLYN SCHLOESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 379-1718
(651) 379-1738
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10671
MN
Other
Enumeration date
11/16/2009
Last updated
07/09/2014
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