Individual
JONNA ANN MAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
(507) 537-9053
Mailing address
420 DELAWARE STREET SE PHILLIPS WANGENSTEEN BUILDING, 14TH FLOOR, SUITE 100B, MINNEAPOLIS, MN 55455
(612) 624-0990
(612) 625-3238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61915
MN
208000000X
Pediatrics Physician
61915
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699187831
—
MN
Enumeration date
05/22/2014
Last updated
10/12/2018
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