Individual
DR. JENNIFER FRANCES IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3800 PARK NICOLLET BLVD, SAINT LOUIS PARK, MN 55416-2527
(952) 993-3708
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48646
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
48646
MN
Other
Enumeration date
05/13/2008
Last updated
07/25/2017
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