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Individual

DR. JENNIFER L. ENGLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7348
(651) 232-6665
Mailing address
800 E 28TH ST # MR 11112, MINNEAPOLIS, MN 55407-3723
(612) 863-6590
(612) 863-5247

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
52774
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110081752A
MA
Enumeration date
01/16/2007
Last updated
07/21/2022
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