Individual
JESSE LENHARDT HENNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E 28TH ST, MR 11326, MINNEAPOLIS, MN 55407-3723
(612) 863-7560
(612) 863-3809
Mailing address
800 E 28TH ST, MR 11326, MINNEAPOLIS, MN 55407-3723
(612) 863-7560
(612) 863-3809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49149
MN
208000000X
Pediatrics Physician
Primary
49149
MN
Other
Enumeration date
01/22/2007
Last updated
11/10/2020
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