Individual
MR. COLE JEFFREY WEISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3111 124TH AVE NW STE 200, COON RAPIDS, MN 55433-4573
(763) 427-7300
(763) 427-2802
Mailing address
3111 124TH AVE NW STE 200, COON RAPIDS, MN 55433-4573
(763) 427-7300
(763) 427-2802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11109
MN
Other
Enumeration date
02/27/2012
Last updated
10/02/2017
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