Individual
ANNE BENOLKEN JUTTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
424 W HIGHWAY 5, WACONIA, MN 55387-1723
(952) 442-4461
(952) 442-1547
Mailing address
424 W HIGHWAY 5, WACONIA, MN 55387-1723
(952) 442-4461
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36778
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
449522500
—
MN
Enumeration date
02/07/2006
Last updated
08/21/2024
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