Individual
JENNIFER DEAN DWYER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 W 1ST ST, PAYNESVILLE, MN 56362-1445
(320) 243-3779
(320) 243-6707
Mailing address
21555 FIRESIDE CT, COLD SPRING, MN 56320-8704
(320) 685-7091
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8809
MN
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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