Individual
JACLYN L GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7180 10TH ST N, OAKDALE, MN 55128-1122
(651) 242-5890
(651) 731-6207
Mailing address
2025 SLOAN PL STE 35, SAINT PAUL, MN 55117-2092
(651) 772-1572
(651) 772-1889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12598
MN
Other
Enumeration date
12/26/2017
Last updated
04/23/2019
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