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Individual

TODD A JORGENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
407 W 66TH ST, RICHFIELD, MN 55423
(612) 798-8800
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36316
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
36316
MN

Other

Enumeration date
05/08/2006
Last updated
07/12/2018
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