Individual
JESSICA K WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2945 HAZELWOOD ST, MAPLEWOOD, MN 55109-1241
(651) 232-7800
Mailing address
1106 SCARBOROUGH LN, WOODBURY, MN 55125-4801
(239) 285-9646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47356
KY
207Q00000X
Family Medicine Physician
Primary
63013
MN
Other
Enumeration date
05/18/2011
Last updated
01/16/2018
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