Individual
LOUIS F. JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6545 FRANCE AVE S, SUITE 210, EDINA, MN 55435-2131
(952) 928-2900
(952) 928-2944
Mailing address
6545 FRANCE AVE S, SUITE 210, EDINA, MN 55435-2131
(952) 928-2900
(952) 928-2944
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
29499
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
851605700
—
MN
Enumeration date
07/03/2006
Last updated
10/21/2011
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