Individual
JORDAN TRAYNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
717 DELAWARE ST SE STE 508, MINNEAPOLIS, MN 55414-2959
(612) 626-6911
(612) 625-3481
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13979
MN
363A00000X
Physician Assistant
22186
WI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/18/2020
Last updated
03/25/2025
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