Individual
DR. JAKE S JASURDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18465 ORCHARD TRL STE 320, LAKEVILLE, MN 55044-2522
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(612) 870-5491
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
156183
IL
Other
Enumeration date
04/07/2017
Last updated
08/13/2024
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