Individual
MR. JONATHAN PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 385-4863
Mailing address
415 BROWN AVE, GREENSBURG, PA 15601-2251
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
02/03/2021
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