Individual
JORDAN LETTAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 BURDICK EXPY E, MINOT, ND 58701-4768
(701) 857-3517
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-3517
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24732
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2023
Last updated
08/13/2026
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