Individual
JONATHAN STANLEY POPKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
606 24TH AVE S STE 602, MINNEAPOLIS, MN 55454-1438
(612) 672-2450
Mailing address
3215 E 24TH ST, MINNEAPOLIS, MN 55406-1405
(612) 562-5880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9456
MN
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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