Individual
MR. JERRY FJERKENSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
235 BEDFORD ST SE, MINNEAPOLIS, MN 55414-3630
(612) 790-2727
Mailing address
235 BEDFORD ST SE, MINNEAPOLIS, MN 55414-3630
(612) 790-2727
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 2195
MN
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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